The procedure of microdyskectomy is referred to as minimally invasive neurosurgical interventions aimed at the treatment of intervertebral hernia. In this case, the operation is performed using a microscope, which allows the surgeon to remove the damaged disk as accurately and carefully as possible and restore the normal spine structure.
Surgery of microdyskectomy is performed in the presence of severe pain, which is caused by compression of the spinal nerve hernia, and the absence of the effect of conservative treatment. This may include physiotherapy, drug therapy and other non -invasive methods for six weeks. In the event of a silence in the lower extremities, which indicates a more critical nerve compression, it is necessary to take rapid action and decide on a discectomy.
Variants of invasive interventions for the treatment of disk hernia include transposited vaporization, endoscopic discectomy and microdiscctomy. Each method has its own indications and limitations, and the choice of specific technique depends on the individual characteristics of the patient and the characteristics of hernia.
During microdyskectomy, a small section of fabrics from 0.5 cm to 3 cm wide is performed, and after surgery a cosmetic seam is used. The surgery time usually ranges from 40 minutes to an hour. In the process of intervention, an operating microscope is used, E
NDOscope, neuromonitoring and X-ray for better visualization and control during surgery. Anesthesia during microdiscctomy can be general, spinal anesthesia or intubation anesthesia, depending on the patient’s indications and needs.
After surgery, the patient is activated on the first day, and the hospital discharge may take place the next day. During the rehabilitation period, which usually lasts from 2 weeks to a month, the patient gradually restores performance. However, the terms of rehabilitation may vary depending on the complexity of the surgery and the individual characteristics of the patient.
After the rehabilitation period, the MRI of the study is usually carried out after 6 months to evaluate the efficiency of the operation and restore the disk structure. This allows you to find out whether the restoration of the normal condition of the spine and the reduction of hernia symptoms managed to achieve.
One of the methods of prevention of recurrence of hernia is the implantation of the intervertebral caage and transpedicular fixation. Deciding the need for the use of these methods in each case is carried out individually, taking into account the characteristics of the patient and surgical indications, and does not affect the overall period of rehabilitation after microdiscctomy.