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Ongoing technological development combined with better understanding of endoscopic anatomy has made posterolateral endoscopic discectomy an appealing surgical option for the management of herniated lumbar disc. We evaluated clinical outcomes, complication rates, and surgical learning curve with the percutaneous posterolateral transforaminal endoscopic discectomy technique (PPTED). PPTED was per...

STUDY DESIGN A retrospective study. PURPOSE To determine the feasibility and effectiveness of revisional percutaneous full endoscopic discectomy for recurrent herniation after conventional open disc surgery. OVERVIEW OF THE LITERATURE: Repeated open discectomy with or without fusion has been the most common procedure for recurrent lumbar disc herniation. Percutaneous endoscopic lumbar discect...

Today, minimally invasive surgical approach in spinal surgery is increasingly becoming popular. Microdiscectomy has been gold standard since 1990. However, in certain centers endoscopic discectomy techniques started to be used. 13,14,21,22 Today, in East Asia, 30% of the discs are operated endoscopically. And this gives us the signals that the surgical method will change in the future. Transfor...

BACKGROUND Percutaneous endoscopic lumbar discectomy is a relatively new technique. Very few studies have reported the clinical outcome of percutaneous endoscopic discectomy in terms of quality of life and return to work. METHOD 55 patients with percutaneous endoscopic lumbar discectomy done from 2002 to 2006 had their clinical outcomes reviewed in terms of the North American Spine Score (NAS...

In the book ”Contemporary Endoscopic Spine Surgery”, edited by Kai-Uwe Lewandrowski, Jorge Felipe Ramírez León, and Anthony Yeung, information on history of spinal endoscopy is provided. A number aspects surgery are covered, in particular pain, preoperative examination, indications for endoscopic surgery, anesthesia, outpatient surgery. New technologies described. Leading scientists presented c...

Full-endoscopic lumbar discectomy under local anesthesia is major trends for the treatment of disc herniation in spine minimally invasive surgery. However, sometimes not enough analgesic surgery especially interlaminar approach. This study summarizes current methods full-endoscopic discectomy. Local still most common method and comparison group other due to high safety. Compared anesthesia, Epi...

Low back pain is common during pregnancy. However, the prevalence of symtomatic lumbar disc herniation is rare, and cauda equina syndrome due to disc herniation during pregnancy is even rarer. We report a rare case of lumbar disc herniation causing cauda equina syndrome during third trimester of pregnancy which successfully treated by endoscopic discectomy. This case shows that endoscopic disce...

We present a case of an acute psoas muscle hematoma following percutaneous endoscopic lumbar discectomy. A 60-year-old female who presented with far lateral lumbar disc herniation underwent endoscopic discectomy on the right side at the L4-5 level. On the second postoperative day, the patient complained of severe right flank and leg pain and her blood pressure decreased. A computed tomography s...