TITLE:
Technique of Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation
AUTHORS:
Rama Shankar Gupta, Xiao-Tao Wu, Xin Hong, Arjun Sinkemani
KEYWORDS:
Lumbar Disc Herniation, Herniated Nucleus Pulposus, Percutaneous Transforaminal Endoscopic Discectomy, Nucleotomy, Root Injury, Safety Triangle
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.5 No.7,
July
30,
2015
ABSTRACT: Percutaneous
Transforaminal Endoscopic Discectomy is a minimally invasive surgery with
little pain, less blood loss, less hospital stay and the surgery can be done in
local anesthesia, which was started during late 20th century. Kambin
and Gellmann in 1973 in the United States and Hijikata in Japanin 1977 individually
preformed posterolateral percutaneous nucleotomy for the resection of the
nucleus pulposus and release of compressed exiting nerve root, which is now
spreading through the world and many surgeons are developing their skill but it
needs experience and patience for successful outcomes. Along with advanced
instruments now the surgery can be performed only giving a small skin incision
of 8 - 10 mm and is as effective as the conventional method of surgery and open
microdiscectomy surgery for the treatment of symptomatic lumbar disc
herniation. In this review, we are explaining the technique of minimally
invasive Percutaneous Transforaminal Endoscopic Discectomy surgery along its
advantages and complications which can be encountered while performing this
technique.