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Percutaneous discectomy – a new minimally invasive method in surgical treatment of herniated disc

12 Feb, 2017

What is a herniated disc?​

The intervertebral discs are cartilaginuous elastic tissues, placed between two vertebrae. They  provide mobility and amortization of the spine. Because of physical strain, trauma, genetic predisposition, obesity and other factors, they suffer from degenerative changes that factor into herniated disc.
In practice, this means that a portion of an intervertebral disc moves into the spinal canal, where the nerves and spinal cord are located, causing their compression and pain, discomfort, numbness, paresthesias, and other more severe clinical symptoms.

Herniated disc does not have a specific clinical picture but the pains often occur in the spine region, irradiating into limbs. Such pain may represent symptoms of several disorders. They can occur due to muscles or ligaments inflammation, or vertebral joints arthrosis. It can also be internal organs pain that mimics vertebral pain. For instance, a person with kidney problems feels pain in the region of the spine. There are many causes of back pain. Of course, it is necessary to make the distinction between a pain caused by a herniated disc and other back pains. But herniated disk is one of the most common causes of spinal pain.

Herniated disc treatment ​

In many cases the treatment of the herniated disc is conservative, such as physiotherapy, massage, anti-inflammatory (steroidal or non-steroidal), epidural cortisone injections, but if symptoms do not improve or disappear after a few weeks, surgical treatment should be considered. Surgical treatment of a herniated disc is indicated depending on the severity of symptoms, their impact on the lifestyle and the consequences of the compression.

Recently at Medpark a new method of treatment of a herniated disc has been implemented – Percutaneous Discectomy, which is a minimally invasive method in the surgical treatment of herniated discs on selected patients. It can be used in any part of the spine. This method allows neurosurgeons to reach the herniated disc through a single needle perforation and under fluoroscopy the cannula is guided to a herniated intervertebral disc. After that, the needle stylet is removed and the automated device DE-KO is inserted. By pressing the button at the end of the instrument, the micromotor is activated, which rotates the conductor system that has helical peak and quickly removes content. The removed tissue is sucked through the cannula in the recipient. Intra-discal pressure and the dimensions of hernia instantly decrease. This stops pressure on the affected nerve roots and reduces pain. The patient may feel relief immediately even during the procedure.

Dr. Adrian Danu, neurosurgeon Medpark:​ “The procedure offers patients advantages over classical surgical treatment and the patient can already move just two hours after the procedure, with result of maximum efficiency.”​

Advantages  of the procedure:​
•    Minimal duration – just 30 minutes;
•    Local anesthesia;
•    Rapid recovery;
•    Minimal discomfort;
•    Scarless and sutureless.

Why to choose Neurosurgery at Medpark?​

• Neurosurgery at Medpark covers all the diseases of the central and peripheral nervous system;
• Ultramodern operation room, equipped with high-resolution microscope, brain and spinal neuro-endoscopy, craniotomy and advanced imaging equipment (intraoperative X-ray device C-Arm, CT, MRI, angiography);
• Immediate surgical or conservative treatment and individualized rehabilitation.​

For more details, schedule a consultation with the neurosurgeon Dr. Adrian Danu by calling the telephone number 022 40 00 40​