Microendoscopic Discectomy for Lumbar Disc Herniations: A Series of 389 Cases

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dc.authoridTacyildiz, Abdullah Emre/0000-0001-5806-243X|ULKU, GOKTUG/0000-0003-1430-2977|Kertmen, Hayri/0000-0002-7113-9830;
dc.contributor.authorBozyigit, Bulent
dc.contributor.authorAbbasoglu, Bilal
dc.contributor.authorUnluer, Caner
dc.contributor.authorUlku, Goktug
dc.contributor.authorTacyildiz, Abdullah Emre
dc.contributor.authorKertmen, Huseyin Hayri
dc.date.accessioned2025-10-24T18:09:58Z
dc.date.available2025-10-24T18:09:58Z
dc.date.issued2023
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractObjective: Lumbar disc herniation is one of the discogenic causes of lower back pain. Patients with severe nerve root compression or progressive neurologic deficit who do not respond to conventional treatments require surgical intervention. These surgical treatments include minimally invasive and traditional methods. In this study, we have presented the clinical data of patients who underwent microendoscopic discectomy (MED)-a minimally invasive method.Methods: The surgical and clinical data of 389 adult patients who were operated through MED by a single surgeon between 2017 and 2022 were retrospectively evaluated. Parameters such as per-oppostop visual analog scale (VAS), follow-up time, duration of hospitalization, and amount of intraoperative blood loss were examined.Results: Of the 389 patients included in our study, 169 were female and 220 were male, and their mean age was 42.78 years. L4-L5 (n=205, 51.6%), L5-S1 (n=185, 46.8%), L3-L4 (n=4, 1%), and L2-L3 (n=2, 0%) were the most frequently operated levels, showing a sequentially decreasing frequency. Bilateral surgery was performed in two patients. Recurrence was observed in 11 patients (2.8%). Cerebrospinal fluid was detected in 2 (0.5%) patients. The mean pre-and post-op VAS scores were calculated as 7.45 and 1.14, with a significant difference of p<0.001. The mean blood loss during surgery was calculated as 9.6 +/- 5.8 mL, and the postoperative hospital stay was 17.2 +/- 8.5 hours.Conclusion: MED was comparable to conventional methods in terms of symptom relief, recurrence rate, recovery time after surgery, and intraoperative blood loss.
dc.identifier.doi10.4274/BMJ.galenos.2023.2023.3-4
dc.identifier.endpage268
dc.identifier.issn1305-9319
dc.identifier.issn1305-9327
dc.identifier.issue3
dc.identifier.startpage263
dc.identifier.trdizinid1254752
dc.identifier.urihttps://doi.org/10.4274/BMJ.galenos.2023.2023.3-4
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1254752
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3907
dc.identifier.volume19
dc.identifier.wosWOS:001108745200016
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherGalenos Publ House
dc.relation.ispartofMedical Journal Of Bakirkoy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20251023
dc.subjectLumbar disc herniation; microendoscopic discectomy; minimally invasive spinal surgery
dc.titleMicroendoscopic Discectomy for Lumbar Disc Herniations: A Series of 389 Cases
dc.typeArticle

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