The removal of a herniated disc surgically

Удаление межпозвоночной грыжи хирургическим путем

As changes occur in the disc of the spine

Today, many people older than 40 years suffer from dangerous diseases such as herniated disc, which is accompanied by severe back pain, numbness of limbs and other serious symptoms.

Sometimes patients are not even aware about the true causes of their severe condition, confusing intervertebral hernia and other diseases of the back, such as sciatica or low back pain. However, there are several signs of a herniated disc is permanent and severe pain in the back, the intensity of which is greatly enhanced after any physical activity.

Today, there are many effective methods of treatment of herniated discs, which include the receipt of necessary medicines and different medical techniques. However, if conservative methods of treatment of this disease has not helped to achieve the desired result, then the only way of getting rid of him is only the removal of a herniated disc surgically (an operation).

  • The advantages and disadvantages of surgical treatment

  • Indications for surgical intervention

    To date, the indications for treatment of a herniated disc surgically conventionally divided into two main groups, which are absolute and non-absolute indications. If the physician determined the patient to the group of absolute evidence, it means that his sickness is very severe stage and the removal of a herniated disc is the last chance to help him. Such patients should be observed the following symptoms:

  • Very strong back pain which cannot be removed by any other means.
  • Severe changes in the organs of the pelvis, which becomes the inability to retain feces and urine.
  • Удаление межпозвоночной грыжи хирургическим путем

    Herniation compresses the nerve and causes severe pain

    If the patient falls into a group of non-absolute indications recommending an operation, in this case, he has the right to refuse removal of intervertebral hernia surgically. Patients from this group also have a range of serious symptoms, indicating that their disease is progressing significantly, and today their body causes a lot of damage, namely:

  • Severe pain in the cervical, thoracic or lumbar spine that the patient is ready to tolerate.
  • Great weakness in muscles of the legs, which in case of violation of innervation can lead to their complete atrophy.
  • Partial deterioration of motor functions of the lower limbs of the patient, for example, paralysis of the foot.
  • The complete absence of any positive changes in the patient’s condition after 3-4 months of treatment using more conservative methods.
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    Varieties of modern operations for hernia

    Today, there are different methods of eliminating herniated disc surgically. Will review the most commonly used of them.


    Microdiscectomy

    Удаление межпозвоночной грыжи хирургическим путем

    Spinal stenosis

    In the modern world, this «gold standard» for treatment of intervertebral operating defects considered modern neurosurgery. This operation involves surgical removal of a herniated disc through a very small incision in the back of the patient, making it the most low-impact and virtually safe. Therefore, after this surgery, the man quickly goes on the amendment and it is almost pain.

    This operation of removal of a herniated disc is performed by means of a powerful microscope and using a special set of special microsurgical instruments. This avoids damage to adjacent tissues and bones of the spinal column and eliminates pressure on the nerve endings of the spine.

    As shown by reviews of patients, almost immediately after this operation it is possible to sit on the bed and performing other simple physical actions. In this case, rehabilitation after removal of intervertebral hernia is not more than 20 days.

    After discharge from the hospital the patient is recommended even for 2.5-3 months have to wear a special support corset, to accelerate the recovery of mobility of the spine.


    Endoscopic removal

    Удаление межпозвоночной грыжи хирургическим путем

    Endoscope — instrument for surgical operation

    New many surgery to remove an intervertebral hernia with the use of endoscopy has become possible due to the fact that recently in modern medicine has been actively used fiber optic technology. The latest neurosurgical equipment makes it easy to visualize the undesirable formation of disc and remove it with minimal damage to the skin in the place of operation.

    The technique of surgical intervention for hernia, using endoscopy has much in common with conventional microdiscectomy. During this back surgery patient make a small incision, the size of which does not exceed 2.5 cm the whole operation step by step is displayed on a special monitor that allows the surgeon to maintain more control over the process of hernia surgery.

    Already just a day after the operation the patient may get out of bed and walk around the ward. And 4 days after removal of intervertebral hernia is opinion him out of the hospital and sending home. The risk of developing any postoperative complications is minimal, and the rehabilitation period after surgery is reduced by several times.

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    Laser irradiation

    The removal of a herniated disc using a laser is the most modern method of relieve the patient from spinal disorders. This method of treatment the hernia has certain limitations, but if necessary, it can completely replace surgery.

    Удаление межпозвоночной грыжи хирургическим путемLaser irradiation of hernial education is conducted as follows: with the help of puncture in the spine of the patient through a small needle inserted special tip-guide. Using the LEDs is the heating of the hernia to 70° in several places. Due to this, due to the evaporation of excess liquid is a significant decrease in the size of the hernia, as well as the strengthening of reparative processes in the spine. It is important to note that this method avoids destroying the structure of the intervertebral disc.

    On recovery the patient then takes a substantially longer time in comparison with other types of surgery. Pain the spine the patient continues to persist for a certain time and leave only after several months. In this case, the rehabilitation program included physical therapy.

    Often laser therapy acts as Supplement to the usual methods of surgical removal of a herniated disc. This operation allows to substantially strengthen the bone tissue of the patient’s spine and to prevent relapse of the disease.


    Plastic surgery

    If the person has any bone lesions vertebral Slava and requires immediate strengthening of the vertebral joints, in this case used a technique of vertebroplasty. Sometimes even an operation for hernia would not solve all problems with health of the person, if he has a fracture of the joints of the spine against the background of progressive osteoporosis due to lesions of the spinal tumor, or a serious back injury.

    Удаление межпозвоночной грыжи хирургическим путемThe strengthening of the surfaces of the vertebrae using a special medical cement or plastic will help to stabilize the spine and thereby to avert an even greater deformation and destruction of the intervertebral discs, besides speed up the recovery of locomotor functions.


    Destruction of the intervertebral nerves

    The main purpose of this technique is to relieve the severe pain syndrome that is a consequence of severe damage to the joints of the spine. To run surgeon initially blocks the receptors in the intervertebral space through the implementation of periarticular blockades, using a strong anesthetic. If he said that the main reason for severe pain in the back of the patient is not the hernial education, and surgery to remove the herniated disc will not lead to the desired results, then the decision on the execution of the method of nerve destruction.

    This method of treatment is particularly essential when surgical intervention is not yet required, but at the same time, the patient constantly suffers from strong pain in the back, aggravated by bending, turns and other movements of the body.


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    The advantages and disadvantages of surgical treatment

    The removal of a herniated disc with the use of surgery allows the patient to confidently predict a full recovery from the disease. Modern methods of surgical treatment are many very positive effects, namely:

  • The almost instantaneous removal of pain of the patient with the use of endoscopy, and standard techniques.
  • Very high probability of complete cure.
  • Short time of stay in the hospital.
  • Rehabilitation after hernia surgery the patient takes very little time (who did the surgery relatively quickly recovers and feels relieved).
  • As with any surgery, removal of a herniated disc can cause serious complications. The most severe consequences of surgical treatment gruzevich formations on the disc are infectious and inflammatory processes such as osteomyelitis, spondylitis and epidurit.

    Удаление межпозвоночной грыжи хирургическим путемThe main prevention of such complications is a timely introduction to the patient all the necessary antibacterial medicines. Can appear in the spinal canal of new scars and adhesions, which significantly reduces the effectiveness of surgical treatment and prolong the recovery period. Violated motor function in the lower extremities of the patient, which often arise if the operation was a spinal cord injury.

    Sometimes worsens the condition of the joints of the spine, which will inevitably lead to further deformation of the disk and subsidence of the vertebrae.