Who can benefit from Microsurgical Discectomy ? : Most Advanced Minimally Invasive Spine Surgery in India

A microsurgical discectomy, microdiscectomy or micro decompression spine surgery involves removal of a small portion of the bone/disc over or under nerve root to relieve nerve pinching and provide more room for the nerve to heal.

A microsurgical discectomy is typically performed for a herniated lumbar disc or spinal stenosis and is actually more effective for treating leg pain (commonly known as radiculopathy) than lower back pain.

Pressure on the nerve root (Neural impingement) can cause substantial leg pain. While it may months for the nerve root to heal completely and any numbness or weakness to get better, patients normally feel relief from leg pain almost immediately after a microdiscectomy lumbar spine surgery.

Microsurgical Discectomy is considered to be more reliable compared to the closed procedures like percutaneous procedures. Here the surgeon can directly view the disc fragments. After moving the muscles of the back and excising a bit of bone tissue, the surgeon can directly look into the spinal canal. The microsurgical discectomy involves the use of an operating microscope which allows magnification of the spinal disc material and further allows greater maneuverability to the operating surgeon. This allows quicker post operative healing of the wound and hastens recovery.

Who can benefit from Microsurgical Discectomy?

A microsurgical discectomy is typically recommended for patients who have:

•     Experienced leg pain for at least six weeks
•     Not found sufficient pain relief with conservative treatment (such as oral steroids, NSAID’s, and physical therapy).
•     In cases of severe disc herniation, causing weakness, pain, numbness and in cases of loss of control of bowel/bladder (Clauda Equina Syndrome) or worsening neurological symptoms. It is recommended to conduct the surgery immediately as conservative care is not expected to provide relief.

Prior to deciding the surgical intervention on the patient, it is crucial that conservative treatment is tried. Conservative care includes NSAIDS, physical therapy with exercises for pelvic stabilization. Occasionally traction may be required

Some patients may benefit from epidural steroid injections, directly into the spinal canal, to alleviate the irritation caused due to inflamed nerve roots.

Usually the conservative treatment is tried for about 2 months before considering surgery.

The Microsurgical Discectomy Surgery:

Before the disc material is removed, a small piece of bone (the lamina) from the affected vertebra may be removed. This is called a Laminotomy or Laminectomy It allows the surgeon to better see the herniated disc.

Microdiscectomy uses a special surgical microscope to view the disc and nerves. This surgical microscope is mounted on a flexible stand and lets the surgeon to view with both eyes. This larger well lit view allows the surgeon great flexibility and to operate using a smaller incision. Usually the incision is less than 2 inches. This causes less damage to surrounding tissue. Upon the initial incision the back muscles are stretched out rather than being cut to allow the surgery. This step aids greatly in post surgical recovery.

The surgeon then uses a special high speed surgical drill to remove a small portion of facet joint. The nerve is very carefully moved to the side. Then the surgeon removes the part of the disc that is herniated and is pushing into the spinal canal. Any loose fragments of disc are also removed. The nerve is then moved back and the incision is closed with sutures or surgical tape. This surgery is carried out under general anesthesia and in some cases might involve overnight stay in the hospital.

Minimal Invasive Spine surgery comes with more benefice than invasive spine surgery.

• Less scar tissue is created thereby not leaving the patient to recover with huge and ugly scar marks.
• Pain associated with this procedure is effectively less severe as small incisions are made. Also less soft tissues are damaged.
• Less blood is lost and therefore the patients don’t have to be at a medication for long periods of time
• Procedure is more accurate and leaves the patient with better results.
• The cost for such a surgery is quite lesser as compared to an Invasive Spinal surgery.

The Post Surgical care after Micro Surgical Discectomy:

The patient will be given antibiotics to prevent infection and pain relievers to help with post operative pain.

The patient will be mobilized within 24 hours. Some studies noted no extra risk of re herniation in the patients who resumed normal activities sooner.  Everyday activities can be resumed within few days while high intensity activities should wait 2-3 months.

The patient will receive physical therapy to regain the spine strength and encouraged to walk on a regular scheduled regimen. The brisk walking is shown to improve the post surgical outcome and lower back stabilization.

Most Advanced Minimally Invasive Spine Surgery in India

Our network hospitals have the most advanced spine surgery facilities. The spine surgeons here use minimally invasive and computer guided techniques in spine surgery. In a Minimally Invasive spine surgery the surgeon makes a few small incisions unlike the open surgery where a single large incision is made. Minimally Invasive spine surgery has several important benefits for the patients. If you have been advised spine surgery your first choice should be the latest minimally invasive technique developed by our world best hospitals in India. Most advanced Technology like Intra Operative MRI, Brain Suite and Computer Assisted Navigation System are deployed by highly trained surgeons for accurate and safe Spine Surgeries through a small incision.

Why should you choose to get Indian hospitals offer the best spinal surgery treatment in India at affordable prices. MedWorld india associated best spine surgery hospitals in India have the latest technology and infrastructure to offer the most advanced spine surgery at low cost.

Salient features of these hospitals are:

• Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.
• Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
• Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.

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