Clinical case

Clinical Case Discectomy to remove herniated disc L4L5

This case represents many of the cases that come to our consultations looking for solutions.

It is a case of minimally invasive surgery with discectomy to completely eliminate the hernial material.

Preoperative

The patient comes to the consultation with severe pain in the lower joints that prevents him from standing for long periods of time and causes cramps and tingling.

These pains are caused by compression of the nerve at the level of L4L5.

Operation

An incision of about 3 mm is made between the 4th and 5th cervical vertebra. in the window between them and a dilator is introduced to be able to introduce the cannula through which the endoscopy will be performed.

This technique is minimally invasive, so it is important to coagulate to avoid blood that could interrupt vision.

After cleaning the access area to the nerve, a narrowing of the yellow ligament is observed in the patient, so more care must be taken, hardening it to avoid damage.

The herniated material begins to be removed, with a technique that includes discectomy.

Once the intervention is completed, the disc area is sealed.

Postoperative

After closing the incision, a small scar remains, through which 11 grams of hernial material have been released.

After the operation, the patient is in recovery or will be able to leave as soon as the anesthesia is expelled without needing support, crutches or using any type of belt during recovery.