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Percutaneous Spinoscopic Discectomy of Lumber Disc Prolapse

Author Affiliations

  • 1FICMS Neurosurgery, Hawler Private Hospital, Erbil, Iraq
  • 2FICMS Neurosurgery, Hawler Private Hospital, Erbil, Iraq
  • 3Neurosurgery, Hawler Private Hospital, Erbil, Iraq

Int. Res. J. Medical Sci., Volume 4, Issue (8), Pages 6-11, August,28 (2016)


Endoscopic spine surgery is considered as a safe and effective alternative to other types of open back surgery that often aggravate fear in patients. Majority of patients delay or even refuse an invasive procedure fearing the lengthy recovery times, potential problems with infection, anaesthesia and or scarring. The Lumbar disc prolapse has a typical issue in the present surgical standard in its treatment is a microsurgical discectomy. Percutaneous endoscopic lumber discectomy (PELD) is a negligibly obtrusive spinal technique being done effectively for prolapsed intervertebral plate ailment. No large randomized study has been done to compare the technique to the accepted standard, open discectomy (with or without microscope), that’s an indicator of how important this study is as we analyse the method, result and difficulties seen in 60 instances experienced PELD of prolapsed lumbar intervertebral disc. The study was completed at the Department of Neurosurgery in three different hospitals in Erbil, Kurdistan, Iraq, over 3 years. The Storzlens Spinoscope was utilized to perform (PELD). Thirty six patients had fabulous results, 18 patients had decent results, 4 patients had reasonable results and 2 patients had poor results. Two patients with a long dural tear obliged transformation to a standard micro-discectomy and were prohibited from result evaluation. Complications included wide dural tear and CSF leak, shallow injury contamination, discitis and repetitive disc prolapse. Spinoscopic Percutaneous-endoscopic lumber Discectomy is a sheltered and compelling strategy towards the treatment of prolapsed lumbar intervertebral disc. Its outcomes are practically identical to standard microdiscectomy.


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