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Endoskopik Bel Fıtığı Ameliyatı


Endoscopic lumbar discectomy
Endoscopic lumbar discectomy

Low back pain constitutes a large part of the reasons for patients to apply to the outpatient clinic in the world. A disc herniation is diagnosed in some of the patients who have low back pain and additionally leg pain. Lumbar hernia is a disease that occurs when the discs that act as shock absorbers between our vertebrae are ruptured and the part that protrudes outwards presses on the nerve. This pressure on the nerve aggravates the pain as it gradually increases in the inflammatory process, stretches the lumbar muscles, and this leads to low back pain. In addition, pain radiating to the leg, which we call sciatica, towards nerve-related muscle groups, also occurs. In advanced levels, paralysis; Findings leading to urinary and stool incontinence can be detected.

Technology makes important contributions to our lives. This was reflected in the field of medicine, especially in the 20th century, and it rapidly developed. These technologies have enabled the same procedures to be performed with small incisions, with less harm to patients, which we call minimally invasive, especially in surgical areas. Thus, endoscopic lumbar hernia surgeries have started to be applied in spinal surgery as well. In this way, patients regain their health in a more comfortable and faster way.

In the field of neurosurgery, the use of both the microscope and the endoscope has provided great advantages in spinal surgery. Enlarging the nerve tissues to see them more clearly has made the complication rates extremely low.

It was applied for the first time by a Japanese doctor, Hijikata, in 1975 and continues to be applied by developing today. This technique, which can be considered new, can be performed in a small number of centers due to the expensiveness of the devices and equipment and the fact that the doctors have not received training on this subject.

The technique is applied by entering from the middle of the waist or from the side, as in the classical approach. A 1 cm incision is made and a 1 cm diameter tube is entered without damaging the muscles. In this tube, the operation is performed using an endoscope and small surgical instruments. The patient can stand up on the same day. After 2 weeks, he can return to his normal life.

The advantage of this technique over other classical methods is that it causes little damage to the tissues. There is very little bleeding. You do not need to take the bone tissue to reach the hernia. The operation time is short. It is possible to perform this operation even with local anesthesia. The recurrence rate is equivalent to the microsurgical technique.

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