Transforaminal endoscopic surgery in lumbar spine: Technical aspects, current status, and evolving scope
Study Design: This study is comprehensive literature review. Aims and Objectives: This study aimed to evaluate the effectiveness of transforaminal endoscopic technique for managing symptomatic lumbar disc herniations and foraminal/extraforaminal/lateral recess stenosis and to assess the comparative...
Ausführliche Beschreibung
Autor*in: |
Arun Bhanot [verfasserIn] Pradyumna P Raiturker [verfasserIn] Abhishek Kashyap [verfasserIn] Meenakshi Arora [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2020 |
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Schlagwörter: |
full endoscopic lumbar discectomy |
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Übergeordnetes Werk: |
In: Indian Spine Journal - Wolters Kluwer Medknow Publications, 2021, 3(2020), 1, Seite 54-65 |
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Übergeordnetes Werk: |
volume:3 ; year:2020 ; number:1 ; pages:54-65 |
Links: |
Link aufrufen |
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DOI / URN: |
10.4103/isj.isj_29_19 |
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Katalog-ID: |
DOAJ053733363 |
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10.4103/isj.isj_29_19 doi (DE-627)DOAJ053733363 (DE-599)DOAJdfbe57ee8e0540c182b282e8e93913c1 DE-627 ger DE-627 rakwb eng RD701-811 Arun Bhanot verfasserin aut Transforaminal endoscopic surgery in lumbar spine: Technical aspects, current status, and evolving scope 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study Design: This study is comprehensive literature review. Aims and Objectives: This study aimed to evaluate the effectiveness of transforaminal endoscopic technique for managing symptomatic lumbar disc herniations and foraminal/extraforaminal/lateral recess stenosis and to assess the comparative status vis-à-vis existing treatment methods. Materials and Methods: A comprehensive systematic literature search of PubMed, Embase, and Cochrane library databases was performed for articles, including case series, randomized controlled trials (RCTs), controlled clinical trials (CCTs), reviews, and metanalysis with the following search terms: transforaminal endoscopic disc surgery, full endoscopic transforaminal surgery, selective endoscopic discectomy, percutaneous endoscopic lumbar discectomy, transforaminal endoscopic surgery for lumbar stenosis, and endoscopic surgery for foraminal stenosis in various combinations. Results: Results were analyzed in terms of efficacy, safety, complications, recurrence rate, and learning curve in comparison with standard preexisting open procedures. Overall, the reviewed literature pointed toward the following observations: the endoscopic techniques had shorter operating times, less blood loss, less operative site pain, faster postoperative rehabilitation, shorter hospital stay, faster return to work than the microsurgical techniques, although some of the observations were limited in their scope. Endoscopic foraminal stenosis decompression could help avoid facetectomy and fusion procedures. Conclusion: Full endoscopic transforaminal surgeries for lumbar disc herniations and foraminal stenosis are safe and effective alternative to open surgery. Similar clinical outcomes as compared with conventional open surgeries can be reached with lesser incidence of complications and better opportunities for revision surgeries, if and when needed. full endoscopic lumbar discectomy percutaneous endoscopic lumbar discectomy transforaminal endoscopic lumbar discectomy Orthopedic surgery Pradyumna P Raiturker verfasserin aut Abhishek Kashyap verfasserin aut Meenakshi Arora verfasserin aut In Indian Spine Journal Wolters Kluwer Medknow Publications, 2021 3(2020), 1, Seite 54-65 (DE-627)1692987976 25895087 nnns volume:3 year:2020 number:1 pages:54-65 https://doi.org/10.4103/isj.isj_29_19 kostenfrei https://doaj.org/article/dfbe57ee8e0540c182b282e8e93913c1 kostenfrei http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=54;epage=65;aulast=Bhanot kostenfrei https://doaj.org/toc/2589-5079 Journal toc kostenfrei https://doaj.org/toc/2589-5087 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2020 1 54-65 |
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10.4103/isj.isj_29_19 doi (DE-627)DOAJ053733363 (DE-599)DOAJdfbe57ee8e0540c182b282e8e93913c1 DE-627 ger DE-627 rakwb eng RD701-811 Arun Bhanot verfasserin aut Transforaminal endoscopic surgery in lumbar spine: Technical aspects, current status, and evolving scope 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study Design: This study is comprehensive literature review. Aims and Objectives: This study aimed to evaluate the effectiveness of transforaminal endoscopic technique for managing symptomatic lumbar disc herniations and foraminal/extraforaminal/lateral recess stenosis and to assess the comparative status vis-à-vis existing treatment methods. Materials and Methods: A comprehensive systematic literature search of PubMed, Embase, and Cochrane library databases was performed for articles, including case series, randomized controlled trials (RCTs), controlled clinical trials (CCTs), reviews, and metanalysis with the following search terms: transforaminal endoscopic disc surgery, full endoscopic transforaminal surgery, selective endoscopic discectomy, percutaneous endoscopic lumbar discectomy, transforaminal endoscopic surgery for lumbar stenosis, and endoscopic surgery for foraminal stenosis in various combinations. Results: Results were analyzed in terms of efficacy, safety, complications, recurrence rate, and learning curve in comparison with standard preexisting open procedures. Overall, the reviewed literature pointed toward the following observations: the endoscopic techniques had shorter operating times, less blood loss, less operative site pain, faster postoperative rehabilitation, shorter hospital stay, faster return to work than the microsurgical techniques, although some of the observations were limited in their scope. Endoscopic foraminal stenosis decompression could help avoid facetectomy and fusion procedures. Conclusion: Full endoscopic transforaminal surgeries for lumbar disc herniations and foraminal stenosis are safe and effective alternative to open surgery. Similar clinical outcomes as compared with conventional open surgeries can be reached with lesser incidence of complications and better opportunities for revision surgeries, if and when needed. full endoscopic lumbar discectomy percutaneous endoscopic lumbar discectomy transforaminal endoscopic lumbar discectomy Orthopedic surgery Pradyumna P Raiturker verfasserin aut Abhishek Kashyap verfasserin aut Meenakshi Arora verfasserin aut In Indian Spine Journal Wolters Kluwer Medknow Publications, 2021 3(2020), 1, Seite 54-65 (DE-627)1692987976 25895087 nnns volume:3 year:2020 number:1 pages:54-65 https://doi.org/10.4103/isj.isj_29_19 kostenfrei https://doaj.org/article/dfbe57ee8e0540c182b282e8e93913c1 kostenfrei http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=54;epage=65;aulast=Bhanot kostenfrei https://doaj.org/toc/2589-5079 Journal toc kostenfrei https://doaj.org/toc/2589-5087 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2020 1 54-65 |
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10.4103/isj.isj_29_19 doi (DE-627)DOAJ053733363 (DE-599)DOAJdfbe57ee8e0540c182b282e8e93913c1 DE-627 ger DE-627 rakwb eng RD701-811 Arun Bhanot verfasserin aut Transforaminal endoscopic surgery in lumbar spine: Technical aspects, current status, and evolving scope 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study Design: This study is comprehensive literature review. Aims and Objectives: This study aimed to evaluate the effectiveness of transforaminal endoscopic technique for managing symptomatic lumbar disc herniations and foraminal/extraforaminal/lateral recess stenosis and to assess the comparative status vis-à-vis existing treatment methods. Materials and Methods: A comprehensive systematic literature search of PubMed, Embase, and Cochrane library databases was performed for articles, including case series, randomized controlled trials (RCTs), controlled clinical trials (CCTs), reviews, and metanalysis with the following search terms: transforaminal endoscopic disc surgery, full endoscopic transforaminal surgery, selective endoscopic discectomy, percutaneous endoscopic lumbar discectomy, transforaminal endoscopic surgery for lumbar stenosis, and endoscopic surgery for foraminal stenosis in various combinations. Results: Results were analyzed in terms of efficacy, safety, complications, recurrence rate, and learning curve in comparison with standard preexisting open procedures. Overall, the reviewed literature pointed toward the following observations: the endoscopic techniques had shorter operating times, less blood loss, less operative site pain, faster postoperative rehabilitation, shorter hospital stay, faster return to work than the microsurgical techniques, although some of the observations were limited in their scope. Endoscopic foraminal stenosis decompression could help avoid facetectomy and fusion procedures. Conclusion: Full endoscopic transforaminal surgeries for lumbar disc herniations and foraminal stenosis are safe and effective alternative to open surgery. Similar clinical outcomes as compared with conventional open surgeries can be reached with lesser incidence of complications and better opportunities for revision surgeries, if and when needed. full endoscopic lumbar discectomy percutaneous endoscopic lumbar discectomy transforaminal endoscopic lumbar discectomy Orthopedic surgery Pradyumna P Raiturker verfasserin aut Abhishek Kashyap verfasserin aut Meenakshi Arora verfasserin aut In Indian Spine Journal Wolters Kluwer Medknow Publications, 2021 3(2020), 1, Seite 54-65 (DE-627)1692987976 25895087 nnns volume:3 year:2020 number:1 pages:54-65 https://doi.org/10.4103/isj.isj_29_19 kostenfrei https://doaj.org/article/dfbe57ee8e0540c182b282e8e93913c1 kostenfrei http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=54;epage=65;aulast=Bhanot kostenfrei https://doaj.org/toc/2589-5079 Journal toc kostenfrei https://doaj.org/toc/2589-5087 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2020 1 54-65 |
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10.4103/isj.isj_29_19 doi (DE-627)DOAJ053733363 (DE-599)DOAJdfbe57ee8e0540c182b282e8e93913c1 DE-627 ger DE-627 rakwb eng RD701-811 Arun Bhanot verfasserin aut Transforaminal endoscopic surgery in lumbar spine: Technical aspects, current status, and evolving scope 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study Design: This study is comprehensive literature review. Aims and Objectives: This study aimed to evaluate the effectiveness of transforaminal endoscopic technique for managing symptomatic lumbar disc herniations and foraminal/extraforaminal/lateral recess stenosis and to assess the comparative status vis-à-vis existing treatment methods. Materials and Methods: A comprehensive systematic literature search of PubMed, Embase, and Cochrane library databases was performed for articles, including case series, randomized controlled trials (RCTs), controlled clinical trials (CCTs), reviews, and metanalysis with the following search terms: transforaminal endoscopic disc surgery, full endoscopic transforaminal surgery, selective endoscopic discectomy, percutaneous endoscopic lumbar discectomy, transforaminal endoscopic surgery for lumbar stenosis, and endoscopic surgery for foraminal stenosis in various combinations. Results: Results were analyzed in terms of efficacy, safety, complications, recurrence rate, and learning curve in comparison with standard preexisting open procedures. Overall, the reviewed literature pointed toward the following observations: the endoscopic techniques had shorter operating times, less blood loss, less operative site pain, faster postoperative rehabilitation, shorter hospital stay, faster return to work than the microsurgical techniques, although some of the observations were limited in their scope. Endoscopic foraminal stenosis decompression could help avoid facetectomy and fusion procedures. Conclusion: Full endoscopic transforaminal surgeries for lumbar disc herniations and foraminal stenosis are safe and effective alternative to open surgery. Similar clinical outcomes as compared with conventional open surgeries can be reached with lesser incidence of complications and better opportunities for revision surgeries, if and when needed. full endoscopic lumbar discectomy percutaneous endoscopic lumbar discectomy transforaminal endoscopic lumbar discectomy Orthopedic surgery Pradyumna P Raiturker verfasserin aut Abhishek Kashyap verfasserin aut Meenakshi Arora verfasserin aut In Indian Spine Journal Wolters Kluwer Medknow Publications, 2021 3(2020), 1, Seite 54-65 (DE-627)1692987976 25895087 nnns volume:3 year:2020 number:1 pages:54-65 https://doi.org/10.4103/isj.isj_29_19 kostenfrei https://doaj.org/article/dfbe57ee8e0540c182b282e8e93913c1 kostenfrei http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=54;epage=65;aulast=Bhanot kostenfrei https://doaj.org/toc/2589-5079 Journal toc kostenfrei https://doaj.org/toc/2589-5087 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2020 1 54-65 |
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10.4103/isj.isj_29_19 doi (DE-627)DOAJ053733363 (DE-599)DOAJdfbe57ee8e0540c182b282e8e93913c1 DE-627 ger DE-627 rakwb eng RD701-811 Arun Bhanot verfasserin aut Transforaminal endoscopic surgery in lumbar spine: Technical aspects, current status, and evolving scope 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study Design: This study is comprehensive literature review. Aims and Objectives: This study aimed to evaluate the effectiveness of transforaminal endoscopic technique for managing symptomatic lumbar disc herniations and foraminal/extraforaminal/lateral recess stenosis and to assess the comparative status vis-à-vis existing treatment methods. Materials and Methods: A comprehensive systematic literature search of PubMed, Embase, and Cochrane library databases was performed for articles, including case series, randomized controlled trials (RCTs), controlled clinical trials (CCTs), reviews, and metanalysis with the following search terms: transforaminal endoscopic disc surgery, full endoscopic transforaminal surgery, selective endoscopic discectomy, percutaneous endoscopic lumbar discectomy, transforaminal endoscopic surgery for lumbar stenosis, and endoscopic surgery for foraminal stenosis in various combinations. Results: Results were analyzed in terms of efficacy, safety, complications, recurrence rate, and learning curve in comparison with standard preexisting open procedures. Overall, the reviewed literature pointed toward the following observations: the endoscopic techniques had shorter operating times, less blood loss, less operative site pain, faster postoperative rehabilitation, shorter hospital stay, faster return to work than the microsurgical techniques, although some of the observations were limited in their scope. Endoscopic foraminal stenosis decompression could help avoid facetectomy and fusion procedures. Conclusion: Full endoscopic transforaminal surgeries for lumbar disc herniations and foraminal stenosis are safe and effective alternative to open surgery. Similar clinical outcomes as compared with conventional open surgeries can be reached with lesser incidence of complications and better opportunities for revision surgeries, if and when needed. full endoscopic lumbar discectomy percutaneous endoscopic lumbar discectomy transforaminal endoscopic lumbar discectomy Orthopedic surgery Pradyumna P Raiturker verfasserin aut Abhishek Kashyap verfasserin aut Meenakshi Arora verfasserin aut In Indian Spine Journal Wolters Kluwer Medknow Publications, 2021 3(2020), 1, Seite 54-65 (DE-627)1692987976 25895087 nnns volume:3 year:2020 number:1 pages:54-65 https://doi.org/10.4103/isj.isj_29_19 kostenfrei https://doaj.org/article/dfbe57ee8e0540c182b282e8e93913c1 kostenfrei http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=54;epage=65;aulast=Bhanot kostenfrei https://doaj.org/toc/2589-5079 Journal toc kostenfrei https://doaj.org/toc/2589-5087 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2020 1 54-65 |
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Transforaminal endoscopic surgery in lumbar spine: Technical aspects, current status, and evolving scope |
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Study Design: This study is comprehensive literature review. Aims and Objectives: This study aimed to evaluate the effectiveness of transforaminal endoscopic technique for managing symptomatic lumbar disc herniations and foraminal/extraforaminal/lateral recess stenosis and to assess the comparative status vis-à-vis existing treatment methods. Materials and Methods: A comprehensive systematic literature search of PubMed, Embase, and Cochrane library databases was performed for articles, including case series, randomized controlled trials (RCTs), controlled clinical trials (CCTs), reviews, and metanalysis with the following search terms: transforaminal endoscopic disc surgery, full endoscopic transforaminal surgery, selective endoscopic discectomy, percutaneous endoscopic lumbar discectomy, transforaminal endoscopic surgery for lumbar stenosis, and endoscopic surgery for foraminal stenosis in various combinations. Results: Results were analyzed in terms of efficacy, safety, complications, recurrence rate, and learning curve in comparison with standard preexisting open procedures. Overall, the reviewed literature pointed toward the following observations: the endoscopic techniques had shorter operating times, less blood loss, less operative site pain, faster postoperative rehabilitation, shorter hospital stay, faster return to work than the microsurgical techniques, although some of the observations were limited in their scope. Endoscopic foraminal stenosis decompression could help avoid facetectomy and fusion procedures. Conclusion: Full endoscopic transforaminal surgeries for lumbar disc herniations and foraminal stenosis are safe and effective alternative to open surgery. Similar clinical outcomes as compared with conventional open surgeries can be reached with lesser incidence of complications and better opportunities for revision surgeries, if and when needed. |
abstractGer |
Study Design: This study is comprehensive literature review. Aims and Objectives: This study aimed to evaluate the effectiveness of transforaminal endoscopic technique for managing symptomatic lumbar disc herniations and foraminal/extraforaminal/lateral recess stenosis and to assess the comparative status vis-à-vis existing treatment methods. Materials and Methods: A comprehensive systematic literature search of PubMed, Embase, and Cochrane library databases was performed for articles, including case series, randomized controlled trials (RCTs), controlled clinical trials (CCTs), reviews, and metanalysis with the following search terms: transforaminal endoscopic disc surgery, full endoscopic transforaminal surgery, selective endoscopic discectomy, percutaneous endoscopic lumbar discectomy, transforaminal endoscopic surgery for lumbar stenosis, and endoscopic surgery for foraminal stenosis in various combinations. Results: Results were analyzed in terms of efficacy, safety, complications, recurrence rate, and learning curve in comparison with standard preexisting open procedures. Overall, the reviewed literature pointed toward the following observations: the endoscopic techniques had shorter operating times, less blood loss, less operative site pain, faster postoperative rehabilitation, shorter hospital stay, faster return to work than the microsurgical techniques, although some of the observations were limited in their scope. Endoscopic foraminal stenosis decompression could help avoid facetectomy and fusion procedures. Conclusion: Full endoscopic transforaminal surgeries for lumbar disc herniations and foraminal stenosis are safe and effective alternative to open surgery. Similar clinical outcomes as compared with conventional open surgeries can be reached with lesser incidence of complications and better opportunities for revision surgeries, if and when needed. |
abstract_unstemmed |
Study Design: This study is comprehensive literature review. Aims and Objectives: This study aimed to evaluate the effectiveness of transforaminal endoscopic technique for managing symptomatic lumbar disc herniations and foraminal/extraforaminal/lateral recess stenosis and to assess the comparative status vis-à-vis existing treatment methods. Materials and Methods: A comprehensive systematic literature search of PubMed, Embase, and Cochrane library databases was performed for articles, including case series, randomized controlled trials (RCTs), controlled clinical trials (CCTs), reviews, and metanalysis with the following search terms: transforaminal endoscopic disc surgery, full endoscopic transforaminal surgery, selective endoscopic discectomy, percutaneous endoscopic lumbar discectomy, transforaminal endoscopic surgery for lumbar stenosis, and endoscopic surgery for foraminal stenosis in various combinations. Results: Results were analyzed in terms of efficacy, safety, complications, recurrence rate, and learning curve in comparison with standard preexisting open procedures. Overall, the reviewed literature pointed toward the following observations: the endoscopic techniques had shorter operating times, less blood loss, less operative site pain, faster postoperative rehabilitation, shorter hospital stay, faster return to work than the microsurgical techniques, although some of the observations were limited in their scope. Endoscopic foraminal stenosis decompression could help avoid facetectomy and fusion procedures. Conclusion: Full endoscopic transforaminal surgeries for lumbar disc herniations and foraminal stenosis are safe and effective alternative to open surgery. Similar clinical outcomes as compared with conventional open surgeries can be reached with lesser incidence of complications and better opportunities for revision surgeries, if and when needed. |
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Results: Results were analyzed in terms of efficacy, safety, complications, recurrence rate, and learning curve in comparison with standard preexisting open procedures. Overall, the reviewed literature pointed toward the following observations: the endoscopic techniques had shorter operating times, less blood loss, less operative site pain, faster postoperative rehabilitation, shorter hospital stay, faster return to work than the microsurgical techniques, although some of the observations were limited in their scope. Endoscopic foraminal stenosis decompression could help avoid facetectomy and fusion procedures. Conclusion: Full endoscopic transforaminal surgeries for lumbar disc herniations and foraminal stenosis are safe and effective alternative to open surgery. 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