Document Type : Original Article
Authors
1
department of neurosurgery, faculty of medicine, Minia university ,
2
department of neurosurgery , faculty of medicine, Alexandria university
3
Minya
4
neurosurgery unit , department of surgery , Faculty of Medicine , Minia university , Minia , Egypt
Abstract
Background: Transforaminal endoscopic lumbar discectomy (TELD) is a minimally invasive procedure used to treat symptomatic lumbar disc herniation (LDH) and is carried out under local anaesthesia. Transforaminal endoscopic lumbar discectomy (TELD) is conducted within the secure operative area known as Kambin's triangle.
objective: to evaluate the transforaminal endoscopic lumbar discectomy surgical process and first complications in the treatment of a herniated lumbar disc.
methods: Forty individuals suffering with unilateral sciatica and low back pain as a result of lumbar disc prolapse were included in this prospective study. Between January 2021 and December 2022, all patients were treated in the neurosurgery departments of Minia University Hospitals by transforaminal endoscopic techniques. Using the VAS, Modified Mac Nab's criteria, and the ODI, patients were evaluated prior to and immediately following surgery, as well as three, six, and twelve months after the procedure.
Results: Based on Mac Nab's Outcome Criteria, 30% of the patients (12 patients) had excellent outcomes, 57.5% (23 patients) achieved good results, 7.5% (3 patients) achieved acceptable results, and 5% (2 patients) achieved bad results. A small number of instances experienced minimal problems, including Dural tear (2 patients, 5%), discitis (3 patients, 7.5%), dysesthesia (3 patients, 7.5%), recurrence (3 patients, 7.5%), and superficial wound infections (1 patient, 2.5%).
Conclusion: TELD is a highly effective surgical procedure for treating lumbar disc prolapse in specific circumstances. It offers numerous benefits, including few problems, short hospital stays, and a quick return to work.
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