A healthy musculoskeletal system is one of the main aspects of a full-fledged vital activity. The pathological lesion of this department is considered one of the serious diseases requiring urgent surgical intervention. The main worrying symptom is increased pain in the lumbar region, which is almost impossible to eliminate with pain medication. The course of the illness is complicated by the duration of the pain syndrome, which is supported by additional signs in the form of painful movement, numbness of limbs, problems with internal organs. Therefore, the earlier a patient resorts to qualified care, the more favorable it is for a prognosis for a quick recovery.
It is not uncommon for a patient to follow exactly all the recommendations prescribed by the attending physician( drug therapy, physiotherapy, exercise therapy), but there are no positive results and the pain does not subside. On the contrary, the patient may experience complications in the form of paralysis of the legs and a painful syndrome that extends to the hip area. Thus, if conservative treatment does not help the patient at all, then the operative treatment is shown as soon as possible.
Lumbar hernia repair
Content of material
- 1 Indications for operation
- 2 Features of surgical treatment
- 3 Types of surgical treatment
- 3.1 Video - Microsurgical removal of intervertebral disc herniation in the lumbar part of
- 4 Possible complications of
- 5 How rehabilitation is performed
- 5.1 Video - Operationon the spine with a hernia
Indications for operation
Herniation of the lumbar spine can lead to serious complicationsI, that in the future will affect the quality of life. In this case, the absolute indications for the surgical procedure are:
- erectile dysfunction;
- problems with normal functioning of the pelvic organs;
- atrophied lower limb muscles;
- prolapse of the pulpous nucleus;
- increased pain syndrome over a long period of time, which is not eliminated with pain medication.
Warning! The operation is also prescribed if the patient has a loss of sensitivity or if there are no signs of recovery within three months.
What is a herniated intervertebral disc
Features of surgical treatment
A patient suffering from a hernia of the lumbar region, should realize that the performed operation to remove her, does not guarantee a full one hundred percent recovery. After surgical treatment, the clinical picture can not only change for the better, but also worsen complications and subsequent relapses. A quick recovery will depend on the rehabilitation and fulfillment of all the prescriptions of the attending physician.
Please note! The operation should be performed only as a last resort, when the pain can not be tolerated and eliminated with the help of medications. If the painful syndrome noticeably subsides under the influence of an anesthetic drug, then it is necessary to continue conservative treatment.
When performing surgery, the patient should remember several aspects that will help successfully cure the disease:
- Immediately before the operation, the patient must make an MRI mandatory and give a number of special tests.
- Herniation of the lumbar spine has its own peculiarities, therefore, to solve it, the physician on an individual basis must choose the type of surgical treatment.
- To prevent a possible complication in the form of infection, after the completion of the surgical procedure, antibiotic therapy is performed.
- After the operation, the patient should remember a long period of rehabilitation, which can not be completed prematurely. It should include exercise therapy, the use of special corsets or other orthopedic adaptations, physiotherapy.
Operation with the help of a diascope
Types of surgical treatment
After the patient has undergone all necessary examinations and tests, the doctor decides on the choice of surgical treatment. The choice of the method is based on the localization of the pathological process, additional complicating symptoms and the general condition of the patient at the time of the examination. There are several radical methods that can eliminate the hernia of the lumbar spine.
| Type of radical treatment | Short description |
|---|---|
| Endoscopic | This surgical procedure involves carrying out under local anesthesia. After anesthetizing the operated site, an endoscope is inserted through a small incision to the patient disk. In parallel, all the actions that are performed during the operation are displayed on the monitor. Among the advantages of the endoscopic method, the following are distinguished: minimal trauma; rehabilitation, which does not require a long time; minimal possible complications. Patient is sent home after the surgery on the third day, and physical performance is restored in a month and a half |
| Microsurgical | If for any reason it is impossible to apply the endoscopic method, then doctors use microscopic. The procedure is carried out with the aid of several incisions. Due to the operating microscope, an internal review of the patient site takes place. Main advantages: minimal risk of damage to nerve endings, which is important; minimizes the likelihood of an inflammatory process after surgery. The patient is discharged three days after surgery |
| Laser vaporization method | A rather complex procedure involving the introduction of a special thin needle patient disk through which the flow of energy. Thus, the pressure inside the disk decreases due to the evaporation of the liquid present in it. This operation is indicated if the patient does not have sequestration with a hamstring of the diseased intervertebral disc. The advantages of laser vaporization are as follows: surgical intervention duration per hour; minimal possible complications; no scars after surgery |
| Cold-plasma nucleoplasty | A hernial tissue that promotes the development of a hernia is removed by cold plasma. Cold plasma is introduced into the area of the lesion through a special thin needle. The destruction of hernial cells occurs due to low temperatures. This manipulation is one of the fastest operations, which takes no more than half an hour, while the pain that disturbs the patient for a long period of time disappears immediately after the completion of the manipulation. Despite the rapid implementation and high efficiency of the method, there remains the only negative - possible relapses |
| Hydroplastic | If the patient is diagnosed with a hernia no more than six millimeters, the specialist recommends conducting hydroplastic. It is compulsory to perform this procedure if the painful syndrome begins to affect the lower limbs. The essence of the therapeutic manipulation is to lead into the cavity of the affected cannula disc, for this it is necessary to perform a small puncture. Then, using saline solution, the pathological cells of the hernia are washed out. It is significant that the method is low-traumatic and is able to improve the cushioning of the intervertebral disc, which deteriorates significantly with the presence of hernial formation |
| Laser reconstruction | The operation involves inserting a needle with a laser LED into the diseased area. Thus, the hernial cells are dried. This operation is allowed if the hernia diameter does not exceed six millimeters. Pros of the method: no scarring after the intervention; minimal risk of complications; medical manipulation is not traumatic. |
| Open surgical procedure | The method is distinguished by the lack of use of devices that affect the patient site. That is, the operation is performed directly by the surgeon. The peculiarity of such surgical treatment is that after it there are no relapses, since all hernial tissue is removed |
This is important! The method of removal of lumbar hernia should be selected only by a competent specialist on the basis of the results of the analyzes and survey data. Otherwise, if the choice of surgical treatment is incorrect, severe complications can occur with subsequent inflammation.
Video - Microsurgical removal of intervertebral disc herniation in the lumbar part of
Possible complications of
The main modern methods of surgical treatment are considered effective enough to eliminate lumbar hernia. After all, medical statistics show relapses in only 5% of patients after the surgery. But, at times operative treatment is not capable to completely eliminate the problem and entails a number of consequences:
- resumption of a hernia is one of the most frequent complications;
- after the intervention, there may be pathological lesions of the nerve roots;
- after a certain method of surgical treatment there are scars and adhesions, which in the future not only discomfort, but also painful sensations;
- allergic reactions due to intolerance to the body of a drug;
- inflammatory process or purulent formation at the site of surgical manipulation.
The formation of a herniated disc
How is the rehabilitation of
The result of recovery will directly depend on the period of rehabilitation and following all the prescriptions. It is very important to follow the following recommendations:
- For two weeks the patient should be completely at peace, and avoid any physical exertion.
- Minimize the sitting position to avoid heavy stress on the spine and discs.
- Do not apply massage or other similar techniques.
- For several months use a medical corset.
- Often change the position and posture of the body.
- To restore the mobility of the spine, therapeutic exercise is shown.
Thus, surgery is the most effective technique for eliminating hernial tissue in the lumbar spine. General information on the need for surgical treatment can be found in the specialist's commentary.
