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How I do it: percutaneous transforaminal endoscopic discectomy for lumbar disk herniation.


ABSTRACT:

Background

Percutaneous transforaminal endoscopic discectomy (PTED) has emerged as a less invasive technique to treat symptomatic lumbar disk herniation (LDH). PTED is performed under local anesthesia with the advantage of immediate intraoperative feedback of the patient. In this paper, the technique is described as conducted in our hospital.

Methods

PTED is performed under local anesthesia in prone position on thoracopelvic supports. The procedure is explained stepwise: e.g. marking, incision, introduction of the 18-gauge needle and guidewire to the superior articular process, introduction of the TomShidi needle and foraminotomy up to 9 mm, with subsequently removal of disk material through the endoscope. Scar size is around 8 mm.

Conclusion

PTED seems a promising alternative to conventional discectomy in patients with LDH and can be performed safely.

SUBMITTER: Depauw PRAM 

PROVIDER: S-EPMC6267719 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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How I do it: percutaneous transforaminal endoscopic discectomy for lumbar disk herniation.

Depauw Paul R A M PRAM   Gadjradj Pravesh S PS   Soria van Hoeve John S JS   Harhangi Biswadjiet S BS  

Acta neurochirurgica 20181112 12


<h4>Background</h4>Percutaneous transforaminal endoscopic discectomy (PTED) has emerged as a less invasive technique to treat symptomatic lumbar disk herniation (LDH). PTED is performed under local anesthesia with the advantage of immediate intraoperative feedback of the patient. In this paper, the technique is described as conducted in our hospital.<h4>Methods</h4>PTED is performed under local anesthesia in prone position on thoracopelvic supports. The procedure is explained stepwise: e.g. mark  ...[more]

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