What
This procedure often uses percutaneous or biportal endoscopy, combined with foraminoplasty if necessary. Usually, a channel is established under image guidance, and soft tissues are separated with the aid of an endoscope and energy devices to remove the protruding disc tissue and decompress the compressed nerve. Hemostasis and irrigation are performed after the operation, and small incisions are sutured. Postoperative monitoring of pain, sensation, and muscle strength aims to relieve compression and restore activity. The above is general health information, not medical advice; the specific plan is subject to specialist evaluation and hospital protocol.
How
- Establish a surgical channel percutaneously using an endoscope.
- Remove the intervertebral disc tissue through image guidance.
- Suture the small incision after hemostasis.
- Monitor pain and nerve function.
Recovery
Short-term postoperative monitoring of vital signs and neurological signs; get out of bed early as directed by the doctor, gradually increase walking, and avoid bending, twisting, and heavy lifting; keep the wound dry and follow up on time; seek medical attention promptly if pain or numbness worsens, or if fever and exudation occur. Air travel can be arranged after doctor's evaluation; no implants usually do not affect security checks.
- Postoperative monitoring of vital signs and neurological signs.
- Get out of bed early as directed by the doctor and gradually increase walking.
- Keep the wound dry and follow up on time.
FAQ
Is it necessary to recheck the images?
Usually evaluated during short-term follow-up visits, whether to supplement MRI/CT is determined by symptom changes and the doctor's judgment.
What is the possibility of recurrence?
There is a risk of recurrence, which is affected by the condition of the intervertebral disc and life load; following doctor's advice for rehabilitation and core muscle training helps reduce the risk.
Is it necessary to wear a lumbar brace?
Short-term wearing may help some patients with early activity safety, whether it is needed and the wearing time are determined by specialist evaluation.
How soon can I return to work and exercise?
Clerical work is usually earlier, while physical work and work with high loads on the waist require longer; generally adjusted individually within a range of 2–6 weeks.
How big is the incision, and is the scar obvious?
Usually a small incision of a few millimeters to about 1–2 centimeters, the appearance of the scar is related to individual physique and care.
Will the symptoms disappear immediately after surgery?
Some pain can be relieved quickly, while numbness and muscle strength often recover gradually, and the time required is affected by the duration of nerve compression and individual differences.
Is general or local anesthesia required for the surgery?
Both can be used, depending on the surgical method, segment, and individual tolerance, as determined by a comprehensive evaluation by the anesthesiology and surgery departments.
Can I fly or take long-distance transportation after surgery?
It needs to be decided by the doctor based on the recovery assessment. It is recommended to move around and hydrate during long journeys to prevent thrombosis and lumbar fatigue.