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ENDOSCOPIC EXTRACTION OF LUMBAR DISC HERNIA

Due to the introduction of high technologies into neurosurgical practice such kind of operations became possible. Endoscopic operations are considered high-class interventions with high cost. That is why medical institutions in many countries have not yet implemented this method. By the number of operations performed with this method, we are considered to be the leaders in our region. Over the past years, we have performed 1800 similar operations (through transforaminal approach). The advantage of this method is that they are done without incision, that is, soft tissues, back muscles or bone structures of the spine are not damaged. Operations are done with a special endoscope in diameter 8 mm, which is thinner than the diameter of a pen.

Unlike open surgeries with different names (microdiscectomy, microscopic operation, open surgery with endoscopic assistention), during our operations, the endoscope is inserted laterally from midline without damaging the back muscles.


During open surgery soft tissues are excised along the middle line of the spine, which subsequently leads to atrophic changes in the muscles of this area. With endoscopic transforaminal method lumbar disc prolapsis or sequester of any size and localization can be removed.

At the end of the operation, laser ablation of the intervertebral disc is done, which contributes the recovery process and significantly reduces the possibility of reherniation. The second important advantage is that the hospitalization time is one day. So if you have intervertebral disc hernia it is preferable to do endoscopic operation with transforaminal approach.