Microdiscectomy Surgery Cost In India

Microdiscectomy Surgery In India

To remove a herniated lumbar disc that is pushing on a spinal nerve root, a microdiscectomy is a frequently done procedure. Here is how the procedure is performed.

Before the Procedure

Microdiscectomy surgery is a complex treatment that requires the patient to be under general anesthetic. Depending on the complexity of the situation, the procedure can take up to an hour. After the anesthetic is administered, an endotracheal tube is inserted to allow the patient to breathe through a ventilator while undergoing surgery.

Intravenous antibiotics will be administered to the patient prior to surgery.

During the Procedure

• The patient will be in a prone position on an operating table with specific padding and supports, laying on his or her stomach.
• A particular cleaning solution is used to clean the operation area (low back region).
• In the midline of the low back, on the area directly over the ruptured disc, the surgeon will make a 1-2 centimeter longitudinal incision.
• The surgeon can see the spine region thanks to the specific retractors and operating microscope utilized in the process. The microdiscectomy is carried out either with a little incision or with no cutting of the surrounding muscles and soft tissues.
• While an x-ray is taken to confirm and identify the relevant disc in the patient’s spine, retractors are used to get access to the area.
• The lamina is removed, and the nerve root’s protective sac is retracted. The herniated disc is visualized and located using an operating microscope. Special instruments are used to remove the ruptured section of the disc. Bone spurs or a synovial cyst pushing on the nerve root will also be removed by the surgeon. The nerve root in the spine is decompressed, but the entire disc is not removed.
• Following that, the surrounding areas are evaluated to ensure there are no more disc pieces.

After the Procedure

Following the operation, the patient is transferred to recovery and then to a regular room. In the postoperative recovery area, a team of doctors will monitor blood pressure, heart rate, and other vital signs. Pain medications will be given according to the patient’s medical history. Gradually, the amount of exercise will be raised, starting with sitting in a chair and progressing to walking and other activities. The patient’s recovery will be aided by the physical therapist. Depending on the speed of rehabilitation, most patients will be discharged home in a few days.

A follow-up appointment with the doctor will be scheduled almost two weeks after the surgery. Some patients continue their physical treatment on an outpatient basis.

Depending on the patient’s overall condition and underlying ailment prior to surgery, the recovery period can last anywhere from one to four weeks. If there is any discomfort at the incision site, it will be treated with prescribed pain relievers. The pain caused by the condition might not go away completely after the procedure. It is critical to do the physical therapy exercises on a regular basis if they are prescribed.

What Are the Potential Risks and Complications of Microdiscectomy Surgery?

A microdiscectomy surgery, like any other type of spine surgery, comes with a number of risks and problems.

In roughly 1% to 7% of microdiscectomy procedures, a dural tear (cerebrospinal fluid leak) occurs. Although the leak may not affect the procedure’s outcome, the patient may be urged to lie down for one to two days after surgery to allow the leak to heal.

The following are some of the other risks and complications:

• Nerve root damage
• Bowel/bladder incontinence
• Bleeding
• Infection
• The possible buildup of fluid in the lungs that may lead to pneumonia
• Deep vein thrombosis, occurs when blood clots form in the leg
• Pain that persists after the surgery

Suggestion

During the first 2-4 weeks after surgery, avoid specific activities such as bending at the waist, lifting heavy weights (more than five pounds), and twisting from the waist. This is critical in order to avoid a strain, damage, or recurring disc.

During the first few weeks after surgery, avoid sitting in the same posture for more than 45-60 minutes. Patients should get up and stretch or go for a walk after sitting for 45-60 minutes before sitting down again.

Following lumbar microdiscectomy surgery, a stretching and strengthening exercise program, as well as aerobic activity, may be prescribed to assist avoid the recurrence of disc herniation or back discomfort.