Lumbar discectomy technique

• Patient-Reported Outcomes in Recurrent Lumbar Disc Herniation Surgery: Clinical Results and a Decision-Making Algorithm for Endoscopic Technique Selection
• Effectiveness and safety of body-temperature irrigation fluid in percutaneous transforaminal endoscopic discectomy: A prospective study
• Advances in Endoscopic Lumbar Spine Surgery: A Comprehensive Review of the Techniques used for the Treatment of Lumbar Disc Herniations and Spinal Stenosis and Lumbar Spinal Fusion
• Comparison of microdiscectomy and fragmentectomy on clinical outcomes for single level lumbar disc herniation: a systematic review and meta-analysis of comparative studies
• Percutaneous transforaminal endoscopic discectomy in patients with lumbar disc herniation: a meta-analysis
• Reoperation Rates After Lumbar Discectomy in Pediatric Patients
• When can lumbar fusion be considered appropriate in the treatment of recurrent lumbar disc herniation? A systematic review and meta-analysis
• An innovative minimally invasive technique for lumbar adjacent segment disease: a retrospective comparative analysis between extreme-oblique lumbar interbody fusion combined with percutaneous endoscopic lumbar discectomy(XOLIF-PELD) and posterior lumbar interbody fusion(PLIF) revision

The lumbar discectomy technique may vary depending on the location and severity of the disc herniation. However, in general, the procedure involves the following steps:

Lumbar discectomy anesthesia

Lumbar discectomy instruments.

Lumbar discectomy position

o Clip fur at least 15 cm wide of incision

o Permanent marker prior to prep or sterile marker after draping (if needed)

A small skin incision is made in the back at the level of the affected disc.

Subcutaneous dissection

Self-retaining retractor.

The surgeon uses a Cobb Spinal Elevator to gently pull the muscles and tissues aside to expose the affected disc and surrounding structures.

The surgeon carefully removes the herniated or damaged portion of the disc using a surgical instrument

• Enhanced technique of dural closure using autologous fat graft and Gelfoam for effective management of dural tear following interlaminar endoscopic lumbar spine surgery
• Does the use of tranexamic acid intraoperatively reduce postoperative blood loss and complications following biportal endoscopic lumbosacral decompression?
• A Suture Technique for Ruptured Annulus Fibrosus Following Decompression Under Percutaneous Transforaminal Endoscopic Discectomy
• Natural language processing for the automated detection of intra-operative elements in lumbar spine surgery
• Lumbar lateral interbody fusion: step-by-step surgical technique and clinical experience
• Allergic contact dermatitis to Dermabond Prineo after abdominal wound closure for anterior lumbar interbody fusion: case report
• A prospective randomised controlled trial evaluating prophylactic Floseal, a gelatin and thrombin-based haemostatic matrix, in postoperative drain output and blood transfusion in transforaminal lumbar interbody fusion surgery
• Delayed Infection 34 Months After IntraSPINE^® Dynamic Internal Insertion

Wound closure with sutures or staples, and a sterile bandage is applied.