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https://doi.org/10.5812/jamm.22695

Feasibility and Success Rate of Lumbar Full-Endoscopic Discectomy: A Preliminary Report From a Military Hospital

Author(s):
Shahnam BaboliShahnam Baboli1, Khosro AlipourKhosro Alipour1, Mehdi SakhabakhshMehdi Sakhabakhsh1, Meysam MortazianMeysam Mortazian2, Reza RahimiReza Rahimi1, Alireza KhoshdelAlireza Khoshdel3,*
1Neurosurgery Ward, Khanevadeh Military Academic Hospital, AJA University of Medical Sciences, Tehran, IR Iran
2Department of Surgery, Faculty of Medicine, AJA University of Medical Sciences, Tehran, IR Iran
3Department of Epidemiology, Faculty of Medicine, AJA University of Medical Sciences, Tehran, IR Iran
Journal of Archives in Military Medicine:Vol. 2, issue 3; 22695
Published online:Aug 29, 2014
Article type:Case Report
Received:Sep 04, 2014
Accepted:Sep 04, 2014
How to Cite:Baboli S, Alipour K, Sakhabakhsh M, Mortazian M, Rahimi R, et al. Feasibility and Success Rate of Lumbar Full-Endoscopic Discectomy: A Preliminary Report From a Military Hospital. J Arch Mil Med. 2014;2(3):22695. doi: https://doi.org/10.5812/jamm.22695

Abstract

Introduction:

Disease and nonbattle injuries are common among deployed military forces and musculoskeletal disease is a leading burden of disease in military population. Consequently, military employees and veterans frequency need medical and surgical management for lumbar disc herniation. Because of considerable complications and long post operation rehabilitation period, minimal invasive procedures have substituted old techniques in many modern military hospitals.

Case Presentation:

In this study, the preliminary results of 30 operated cases with the full endoscopic lumbar disc herniectomy technique in a military hospital were presented for feasibility, complications and follow-up outcomes. Disc herniation was more frequent in left side, particularly in L5-S1 level. Three patients from the first 10 cases were converted to open surgery. No important complication was observed and all patients were pain free, had no complication after 1 and 2 months follow-up and returned to their work.

Conclusions:

We observed that the procedure is feasible and accompanied with an acceptable success rate, short hospital stay and very few perioperative and postoperative complications. It is an appropriate choice of treatment, even in combat region and moving hospitals and can reduce the morbidity of the disease.

Keywords
Surgery
Endoscopy
Disc Hernistion

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