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Management of Lumbar Discectomy by Endoscopy and by Conventional Microscopic Discectomy

Management of Lumbar Discectomy by Endoscopy and by Conventional Microscopic Discectomy

Recruiting
18 years and older
All
Phase N/A

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Overview

Currently, microscopic discectomy is performed as a minimally invasive surgery, thus reducing the impact of so-called conventional "open" discectomies.

Although more technically demanding, discectomy with full endoscopy made possible a significant reduction of invasive impact of surgeries, thus making it possible to broaden the field of indications for endoscopic surgery.

This study is based on the hypothesis that complete endoscopic discectomy offers several advantages over traditional microscopic discectomy, including a smaller incision in the skin and therefore fewer scars but also less muscle damage, lower infection rate, less blood loss, less painful post-operative recovery and shorter length of hospital stay

Description

Discectomy is the most common surgical technique to resolve lumbar radiculopathy caused by disc herniation and compression of nerve roots.

Currently, microscopic discectomy is performed as a minimally invasive surgery, thus reducing the impact of so-called conventional "open" discectomies.

Minimally invasive spinal surgery was developed using a retractor tube, a microscope, and an endoscope to perform efficient decompression of the nerves while preserving stabilizing structures of the spinal cord.

Although more technically demanding, discectomy with full endoscopy made possible a significant reduction of invasive impact of surgeries, thus making it possible to broaden the field of indications for endoscopic surgery.

This study is based on the hypothesis that full endoscopic discectomy offers several advantages over traditional microscopic discectomy, including a smaller incision in the skin and therefore fewer scars but also less muscle damage, lower infection rate, less blood loss, less painful post-operative recovery and shorter length of hospital stay

Eligibility

Inclusion Criteria:

  • Patient, male or female, aged ≥ 18 years
  • Patient operated under endoscopy for a lumbar disc herniation between February 2020 and May 2022
  • Patient operated on by conventional microscopic surgery for lumbar disc herniation before February 2020
  • Patient having been informed of the research and not opposing the use of its data as part of this research

Exclusion Criteria:

  • None

Study details
    Radiculopathy

NCT06193265

GCS Ramsay Santé pour l'Enseignement et la Recherche

27 January 2024

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