Percutaneous Endoscopic Lumbar Discectomy for Lumbar Disc Herniation Using an Endoscopic Staining: A Technical Note
| Title: | Percutaneous Endoscopic Lumbar Discectomy for Lumbar Disc Herniation Using an Endoscopic Staining: A Technical Note |
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| Authors: | Jingjing Tang, Ziyang Liang, Jiahui He, Qi Shang, Jiarui Zhang, Zhihua Wu, Xiaobing Jiang, De Liang, Hui Ren, Jianchao Cui, Zelong Zhou, Zhensong Yao |
| Source: | Orthopaedic Surgery, Vol 13, Iss 4, Pp 1430-1436 (2021) |
| Publisher Information: | Wiley, 2021. |
| Publication Year: | 2021 |
| Collection: | LCC:Orthopedic surgery |
| Subject Terms: | Decompression, Endoscopic surgery, Intervertebral disc disease, Staining, Orthopedic surgery, RD701-811 |
| More Details: | Symptomatic lumbar disc herniation (LDH) is widely treated using percutaneous endoscopic lumbar discectomy (PELD). In the present PELD surgery, performing decompression under endoscope still takes a long time to explore the rupture site of annulus fibrosus, resulting in prolonged operation time and over‐invasion of the undegenerated annulus fibrosus. A wide range of intraoperative exploration also induces an iatrogenic injury of the normal annulus fibrosus, even aggravating intervertebral disc degeneration, which may lead to early postoperative recurrence in severe case. Hence, it is important to seek a precise decompression in PELD surgery. Under this kind of realization, more spinal surgeons possibly choose a disc staining before performing decompression. However, the classical disc staining technique still has its shortcomings. First of all, an appropriate dose of staining cannot be accurately mastered, even induces unqualified staining effect. Second, the duration of surgery and the times of fluoroscopy will be increased. Finally, what surgeons see under the endoscope is the staining result but not the staining process. Hence, this is accomplished more effectively by designing procedures that perform fully visible disc staining under spinal endoscope. There is no specific research to discuss the technique note of endoscopic staining in PELD surgery. We have come up with a new original technology of endoscopic staining with methylene blue injection in PELD for treatment of LDH. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1757-7861 1757-7853 |
| Relation: | https://doaj.org/toc/1757-7853; https://doaj.org/toc/1757-7861 |
| DOI: | 10.1111/os.12907 |
| Access URL: | https://doaj.org/article/265c75ee1654456f82c6b0c2ab9de92b |
| Accession Number: | edsdoj.265c75ee1654456f82c6b0c2ab9de92b |
| Database: | Directory of Open Access Journals |
| ISSN: | 17577861 17577853 |
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| DOI: | 10.1111/os.12907 |
| Published in: | Orthopaedic Surgery |
| Language: | English |