Tubular Discectomy

Table Of Contents

• What Is Tubular Discectomy?
• When Is Tubular Discectomy Performed?
• How Is Tubular Discectomy Performed?
• What Is The Post-Operative Procedure After Tubular Discectomy?
• What Are The Advantages Of A Tubular Discectomy?

What is Tubular Discectomy?

Patients with a painful lumbar herniated disc, often known as a “ruptured” or “slipped” disc, undergo micro lumbar discectomy surgery. When the nucleus pulposus of the spinal disc protrudes through the ligaments surrounding the disc, it is called a herniated disc. It puts extra strain on the nerve roots, resulting in excruciating back pain.

Micro lumbar discectomy, also known as microdiscectomy, is a treatment that involves making a small incision and exposing the affected spinal bone. Then, during the surgery, a microscope with a light and camera is utilised to improve lighting and vision, making the procedure more exact and accurate. During a microscopic discectomy, small surgical devices are used to remove fragments of a herniated disc.

When is Tubular Discectomy Performed?

Micro lumbar discectomy surgery is typically performed to relieve discomfort caused by a herniated disc while restoring lost movement and functions. Surgery is recommended when a person experiences severe leg pain, numbness, or weakness that does not improve with nonsurgical treatment.

This procedure can also be performed in a patient with cauda equina syndrome. This syndrome can cause numbness or tingling in the buttocks, genital area, and legs, as well as a lack of bowel or bladder control. Lumbar discectomy can be performed in such a case to relieve nerve compression.

How is Tubular Discectomy Performed?

The procedure is carried out under general anaesthesia. Preoperative antibiotics are given, and the patient is placed in the prone position on a radiolucent table. Preparation and draping is the process of cleaning the surgical area with a specific solution. At the site of the herniated disc, a smaller longitudinal incision of roughly 2 cm is made in the lower back. A microscope and special retractors are utilised. It aids the spine surgeon see the herniated disc clearly.

The lamina and bone spurs are removed using special surgical tools, and this procedure is known as a laminectomy. Gradually retracting the nerves creates a clear passage to the herniated disc. Finally, a herniated disc’s components are carefully dissected and removed. Sutures are then used to close the incision. If absorbable stitches are applied, they will naturally disintegrate in the body.

What is the Post-operative Procedure After Tubular Discectomy?

Patients are usually discharged the same day or the next day after a tubular discectomy. Physical therapists work with patients before discharge to provide instructions and procedures for getting in and out of bed and walking independently. Patients with a tubular discectomy can usually walk in almost every situation after a few hours of surgery. Small bandages are fastened over the sutures due to the small incisions, and patients are encouraged to keep the surgical site clean and dry. The everyday activities of daily life are favoured. Driving and prolonged sitting will require a few weeks of rest before being resumed.

What are the Advantages of a Tubular Discectomy?

• Pain alleviation
• Smaller Incisions
• Reduced blood loss
• Reduced surgical time
• Reduced muscle injury and localised damage
• Minimum recovery time.