Lumbar Discectomy Minimally Invasive Spine Surgery Cost Abroad



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Lumbar Discectomy Minimally Invasive Spine Surgery Abroad

 

Overview

 

MicroEndoscopic Discectomy (MED)

A patient is brought into the operating room and is put under general anesthesia. Some surgeons have chosen to perform MED under local or spinal anesthesia allowing the patient to stay awake throughout the procedure. The patient is turned onto his abdomen and padded into position. A fluoroscope (floor-o-scope, a machine which projects live x-ray pictures onto a screen) is brought in for use during the remainder of the operation. The patient's back is scrubbed with sterile soap, and a sterile field is created. Drapes are placed accordingly, and the surgery begins...

 

The disc space is confirmed using the fluoroscope, and a long acting, local anesthetic is injected through the muscle and around the bone protecting the disc. A half to one-inch incision is made. A thin wire is placed through the incision and lowered until it touches the bone. Progressively larger dilators are brought down on top of one another following the wire. In this manner, the muscle is stretched rather than cut. By the time the 4th or 5th dilator is placed, the muscles are stretched to an opening roughly the size of a nickel.

 

It is through this opening that the procedure is performed. Over the last dilator, a working channel is positioned; this circular retractor holds back the muscles and now the dilators can be removed. The retractor is held in place by a mechanical arm attached to the table...

 

 

 

 

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