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Journals / Journal of Clinical and Analytical Medicine / 2016 / Cilt: 7 - Sayı: 4

67 Vakalık Perkütan Transforaminal Endoskopik Lomber Diskektomi Tecrübemiz

Our Experience with 67 Cases of Percutaneous Transforaminal Endoscopic Lumbar Discectomy

Muhammet Bahadır YILMAZ
Güven ÇITAK
Ümit KOCAMAN
Mehmet Haluk ÖZER
Hakan YILMAZ
Pages
466–469
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The technique is not limited to these localizations; it can also be used for free fragments within the channel, recurrent disc herniations, and narrow channels.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Minimally invasive interventions have become increasingly popular with the developments in technology and surgical tools.
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Key Findings & Data:In this article, we present our experience with 67 cases of percutaneous transforaminal endoscopic lumbar discectomy.
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Conclusion & Impact:The technique is not limited to these localizations; it can also be used for free fragments within the channel, recurrent disc herniations, and narrow channels.
🔬Design:Research Article
📍Scope:2004 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: Minimally invasive interventions have become increasingly popular with the developments in technology and surgical tools. In this article, we present our experience with 67 cases of percutaneous transforaminal endoscopic lumbar discectomy. Material and Method: A total of 67 cases that underwent endoscopic surgery for foraminal and extraforaminal disc hernia between 2004 and 2010 were retrospectively examined. Results: The mean pre-operative VAS score was 8.13. The mean post-operative VAS score was 2.4 in the 1st month and 2.01 in the 12th month. Satisfaction according to MacNab criteria in the 12th month was excellent in 35 (52.2%) patients, good in 18 (26.9%) patients, fair in 11 (16.4%) patients, and poor in 3 (4.5%) patients. Microdiscectomy was required due to continuing symptoms in 3 patients (4.5%). Temporary dysesthesia was found in 3 patients. Discussion: Percutaneous endoscopic discectomy has become a good alternative to microsurgery for foraminal and extraforaminal disc herniations because of the developments in technology and surgical tools as well as the increased experience of surgeons. The technique is not limited to these localizations; it can also be used for free fragments within the channel, recurrent disc herniations, and narrow channels.

Özet

Amaç: Teknoloji ve cerrahi aletlerdeki gelişmelerle birlikte minimal invaziv girişimler giderek daha popüler hale gelmektedir. Bu yazıda 67 vakalık perkütan transforaminal endoskopik diskektomi tecrübemiz sunulmuştur. Gereç ve Yöntem: 2004-2010 yılları arasında, foraminal ve extraforaminal yerleşimli disk hernisi nedeniyle endoskopik olarak opere edilen toplam 67 olgu bu çalışmada retrospektif olarak incelendi. Bulgular: Olguların preoperatif ortalama VAS skorları 8,13' dü. Olguların postoperatif ortalama VAS skorları 1.ayda 2,4, 12. ayda ise 2,01 olarak saptandı. 12. ayda Macnab kriterlerine gore memnuniyet derecelerinin değerlendirilmesinde; 35 (52,2%) hastada mükemmel, 18 (26,9%) hastada iyi, 11 (16,4%) hastada orta, 3 (4,5%) hastada kötü olduğu saptandı. 3 hastada devam eden şikayetler nedeniyle mikrodiskektomi yapılması gerekti. 3 hastada geçici dizestezi saptandı. Tartışma: Perkütan endoskopik diskektomi; hem teknolojik ve cerrahi aletlerdeki gelişmeler hem de artan cerrahi tecrübeyle foraminal ve extraforaminal diskler için mikrocerrahiye iyi bir alternatif oluşturmuştur. Ayrıca kulanım alanı sadece bu lokalizasyonla sınırlı kalmayıp kanal içi serbest fragman, nüks diskler ve dar kanallara doğru da genişlemektedir.

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Cite This Article

YILMAZ, M. B., ÇITAK, G., KOCAMAN, Ü., ÖZER, M. H., YILMAZ, H. (2022). 67 Vakalık Perkütan Transforaminal Endoskopik Lomber Diskektomi Tecrübemiz. Journal of Clinical and Analytical Medicine, Cilt: 7 - Sayı: 4, 466–469. https://ajindex.com/articles/652329

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