Endoscopic disc surgery joimax

As a rule, most back pains are without further nerve root complaints. Can usually be treated well by conservative methods. Common conservative treatments include painkillers and physiotherapy, for example.

However, if severe pain and neurological symptoms with impaired nerve function cannot be managed with conservative treatment methods, neurological (d.h. Clarification performed. Disc surgery under consideration.

Microsurgical& Endoscopic disc surgery

No question: nobody likes to go under the knife. Nevertheless, for many patients, disc surgery is the only chance to get rid of their symptoms permanently and to regain their original quality of life. If the surrounding nerves are already affected and the pain reaches an unbearable level or even paralysis symptoms occur, conservative procedures such as z.B. Physiotherapy alone is no longer sufficient – intervertebral disc surgery becomes necessary.

If increasing sensory disturbances, paralysis or even organic dysfunctions occur, disc surgery must usually be performed quickly. In these cases, there is a risk of irreversible damage to nerve roots. In such a disc surgery, the doctor removes the protruding disc tie that presses on the nerves.

Microsurgical disc surgery

All surgical methods of disc surgery pursue the goal of removing the herniated disc as completely as possible, in order to give the pinched oppressed nerve more space again. This should be done as gently as possible for the surrounding tie.

The standard method for herniated disc surgery is the so-called microdiscectomy (disc = disc, ectomy = removal). This open, microsurgical disc surgery is performed through a short, 3-5 cm skin incision above the spine. A surgical microscope and special instruments are used, with the help of which the surgeon can easily identify the slipped out disc material and then remove it with fine tools. Normally, patients feel well again directly after the disc surgery, but there remains a small risk of scarring at the site of the surgery. The intervertebral disc surgery is performed under general anesthesia. Performed in prone position.

Endoscopic disc surgery as an alternative

Modern surgical procedures are increasingly replacing classic open surgery. This also includes the so-called minimally invasive surgery for intervertebral disc surgery, in which the surgeons work with the help of technically sophisticated instruments and devices virtually through a kind of "keyhole" and no longer need a scalpel. This endoscopic technique allows particularly gentle disc surgery. The usual two to three centimeter long incision in the back is not necessary, instead the surgeon performs the disc surgery through a small puncture with a hollow needle.

Advantages of this "bloodless" procedure (z.B. with the modern TESSYS ® method):

– The gentle, endoscopic approach allows the preservation of all stabilizing structures of the spine – ligaments, muscles and bones – to the greatest extent possible. – The tie around the spine is hardly injured by this type of disc surgery. As a result, there are no major scars, and the healing process is usually less complicated than with traditional surgical methods. To subsequent wound-. Muscle pain is very rare. – Due to the faster recovery, an earlier return to work is possible. – In general, endoscopic surgery has a lower risk of infection than open surgery.

Endoscopic disc surgery joimax

Endoscopic disc surgery joimax

The TESSYS ® system: keyhole technology at the highest level

Endoscopic intervertebral disc surgery requires not only a sure instinct on the part of the surgeon, but also a method and technique in the background that creates optimal operating conditions. A milestone is set here by the TESSYS ® method, which achieves excellent results with its multifunctional surgical system – even in difficult cases. This surgical system uses a lateral endoscopic access route via the intervertebral foramen for the gentle removal of a herniated disc – in other words, it uses a quasi-natural entrance.

See here what patients report about their experience with endoscopic disc surgery with the TESSYS ® method!

In both types of disc surgery, a laser can be used if necessary. This is referred to as percutaneous laser disc decompression. This has the advantage that herniations and protrusions can be easily shrunk with the help of the laser. In addition, the gap through which the disc tie emerges is closed again. In addition, the use of a laser can eliminate pain emitters.

joimax ® patient information brochure herniated disc (PDF) Minimally invasive endoscopic procedures for the treatment of herniated discs

When is a intervertebral disc surgery unavoidable?

There are cases in which the disc surgery is no longer circumventable. The intervertebral disc surgery is strongly recommended when the crushing of the nerve roots leads to pain and at the same time there are already neurological deficits. This could be, for example, numbness or weakening of the muscles in the foot.

Also a disc surgery should be considered if the leg and back pain does not improve significantly within 8 weeks by conservative therapy. The reason for this can be, among other things, a piece of intervertebral disc jammed under the nerve roots.

In any case, the doctor will order a computer or magnetic resonance imaging before an operation and then decide whether an operation is really advisable or not.

The intervertebral disc surgery should not be postponed if there are already first signs of failure in the control of bowel or bladder.

When should a Intervertebral disc surgery should be refrained from?

Unfortunately, disc surgery is not promising for everyone – in fact, the prospects for improvement are often slim. This, however, the doctor must always decide in detail, as well as the question of which surgical method should be used specifically.

People who are generally in poor health or who are allergic or sensitive to anesthetics should generally refrain from surgery.

Who wants to be sure whether a disc surgery is really the last resort, should get a second opinion from another doctor.

What is the risk of surgery?

No operation is completely without risk – no matter how experienced the doctor and how good the hospital may be. Nevertheless, a disc surgery today is considered relatively low risk.

Before the operation, the attending physician will give detailed information about what complications could occur, even if the risk is not very high.

Such risks are, for example, bleeding, infection of the wound or swelling. Due to scarring after the operation, pain or discomfort can also occur at this point postoperatively.

Nevertheless, it is important to know that the pain can be alleviated by an intervertebral disc surgery, but the original condition of the spine can never be restored. This means that in many cases the surgery will bring significant relief, but still leave a scarred area at the site of the surgery, not a completely intact or even "new" spine. Generally, the suffering persists, because in the case of a herniated disc usually also other parts of the disc as well as various joints cause problems. What happens before. What to do after the surgery?

For disc surgery, the patient should appear sober, which means that from 10 pm the night before nothing more to eat and drink may be. If medication is taken, this must be discussed with the doctor or anesthesiologist beforehand.

It should also be clarified before the operation what the patient's transport home will look like and who will take over the outpatient care.

After the operation, the patient remains under observation for a few hours, even in the case of outpatient surgery – at least until he or she can get up and go home on his or her own. However, the patient is not allowed to drive himself, but should be transported either lying in the ambulance or on the seat of a car in a lying position.

In the first hours and days after surgery, pain may still occur, which is why the patient is prescribed painkillers. Often the administration of decongestant medication is also necessary. In addition, the patient is usually taught in the hospital how to stand up correctly – this is important so that the freshly operated spine is protected as much as possible.

Relatively shortly after the disc surgery – usually after about a week – is then the physiotherapy on the program.

Incidentally, a freshly operated patient should not sit for the first two weeks after disc surgery. Standing for short periods of time, on the other hand, is permitted. Of course, staying in a lying position. Short walks – at the beginning once or several times a day for 10 minutes – are also okay, as long as no severe pain occurs. Some patients have problems with urination immediately after disc surgery. Therefore get in the first days temporarily a catheter inserted.

Patients are usually allowed to drive again after 2-3 weeks.

Rehab after surgery?

An important and effective rehabilitation measure after an intervertebral disc surgery is the accompanied therapy. Because aftercare is at least as important as the surgery itself. The program will include special strengthening and stretching exercises and, depending on the condition, also treatments with cold or heat, or. Electricity as well as physiotherapy. Water gymnastics. Many rehabilitation clinics also offer a special back school in which the patient learns which posture is advantageous and what should be avoided in everyday life.

How long it takes for everything to heal?

No one can say for sure – not even the doctor. The duration of healing depends on several factors. However, it can be amed that it takes between 3 and 6 months on average until the patient's spine can be fully loaded again.

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