Published in:
01-04-2016 | How I Do it - Neurosurgical Techniques
Lumbar microendoscopic discectomy: surgical technique and nuances
Published in: Acta Neurochirurgica | Issue 4/2016
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Background
Lumbar microendoscopic discectomy (MED) is a minimally invasive transmuscular approach that combines standard lumbar microsurgical techniques with endoscopy. MED advantages include reduced tissue trauma, direct visualization of the nerve root and disc disease, and allowing bony decompression in cases with spinal or lateral recess stenosis.
Methods
Operative charts and videos of patients undergoing MED were retrieved from our database and reviewed. A description of the surgical technique was then formulated.
Conclusions
The surgical technique of MED is described and is essentially similar to conventional microdiscectomy. Some modifications are, however, necessary owing to the difference between microscopic and endoscopic views.