Lumbar Discectomy

Once the disc herniation is confirmed through imaging, a small incision is made in the back and a guide wire is inserted into the affected disc. To ensure accuracy, we use a specialized x-ray machine known as a fluoroscope, which helps the surgeon find the exact route to the herniated disc, minimizing the risk of damage to surrounding tissues. Next, a dilating tube is passed over the guide wire, creating space to reach the disc. If needed, the tissue along the path of the tube is anesthetized, ensuring the patient experiences minimal discomfort.

After careful preparation, the surgeon carefully slides a working sleeve over the dilating tube, positioning it directly on the surface of the disc. The guide wire and dilator are then removed. Next, a small, specialized camera called an endoscope, which contains both a light and camera, is inserted through the sleeve. This camera allows the surgeon to view the disc and the surrounding space on a video monitor for a clear view of the surgery as it progresses.

Using this precise visualization, the surgeon removes portions of the disc that have degenerated, taking only enough tissue to reduce internal pressure while maintaining spine stability. The defective disc wall is then treated with a laser and radiofrequency probe. Finally, the surrounding vertebrae and nerves are carefully checked to confirm successful decompression.

After the surgery is complete, the instruments and sleeve are removed, and the surgical site is covered with a bandage. Because the procedure does not involve cutting bone or muscle, recovery is quick and patients can expect minimal scarring. You may need a brief period of rest, followed by physical therapy. However, many patients can return to their regular activities in one to six weeks.