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Microdecompression Endoscopic Spinal Diskectomy CH 24-10
surgical procedure
18
Medical
Professional
04/17/2016

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Cards

Term
Why is a micro decompression Endoscopic Spinal Discectomy performed?
Definition
To decompress an injured spinal disc, and to remove bony spurs.
Term
How is the disc removed?
Definition
With the help of fluoroscopy, endoscopic instruments and the use of a laser.
Term
Advantages of micro decompression endoscopic spinal Discectomy...
Definition
Small incision
No traumatic muscle dissection
No bone removal
No bone fusion
No manipulation of the nerves in the area
Minimal x-ray exposure
No hospitalization required
No postop scarring in or around the nerves
Patient can begin exercise program on the day of the procedure.
Cost of the procedure is 40%less than an open procedure
High success rate
Term
Position
Definition
Mostly lateral
Term
Anesthesia
Definition
Local/MAC
Term
possible complications
Definition
muscle spasms: can be relieved with the use of muscle relaxants and analgesics.
Term
Wound Classification
Definition
class 1: Clean
Term
Equipment/Instruments/Supplies
Definition
Small diameter tube for introduction of instruments
Endoscopic imaging equipment
Discotome
Laser of Surgeon's choice
Term
Preoperative diagnostic tests and procedures
Definition
CT, MRI, Myelogram revealing disk herniation.
Term
Postoperative pain
Definition
minimal to none
Term
Return to normal activity
Definition
10 days to 3 weeks
Term
First step of procedure
Definition
Local anesthetic is injected
Term
Second step of procedure
Definition
Skin incision is made with #15 blade
Term
Third step of procedure
Definition
X-rays, fluoroscopy, and endoscopic imaging for guidance, a small tube is inserted through skin incision.
Term
Fourth step of procedure
Definition
Surgeon removes disc material to decompress and relieve the pressure on the nerve root.
Term
Fifth step of the procedure
Definition
Laser probe is used to shrink, tighten, and burn away other portions of the disc.
Term
Sixth step of the procedure
Definition
Probe is used to suction out small pieces of disc material.
Term
Last step of the procedure
Definition
Hollow tube is removed and a small bandage is applied over incision.
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