Microdiscectomy
Microdiscectomy represents the gold standard in minimally invasive spine surgery for treating herniated lumbar discs. This sophisticated procedure utilizes advanced microsurgical techniques and specialized instruments to remove problematic disc material that's compressing nerve roots, providing effective relief while preserving healthy spinal structures. Our skilled surgeons perform this outpatient procedure through a small incision, typically less than one inch, resulting in minimal scarring, reduced recovery time, and excellent long-term outcomes for patients suffering from persistent leg pain and neurological symptoms.
The microdiscectomy procedure begins with the patient positioned comfortably under general anesthesia. Our surgeon makes a small incision over the affected disc level and uses a specialized retractor system to gently separate muscle fibers rather than cutting through them. This muscle-sparing approach significantly reduces post-operative pain and accelerates the healing process. High-powered surgical microscopes provide magnified visualization of the surgical site, ensuring precise identification and removal of herniated disc fragments.
During the procedure, the surgeon carefully removes only the portion of the disc that is compressing the nerve root, preserving as much healthy disc material as possible. This selective removal approach maintains spinal stability while eliminating the source of nerve compression. The nerve root is gently retracted to allow complete visualization of the disc space, ensuring thorough removal of loose disc fragments that could cause future problems.
Advanced techniques such as endoscopic assistance may be employed when appropriate, further minimizing tissue disruption and enhancing surgical precision. The entire procedure typically takes 45-90 minutes, depending on the complexity of the case and whether single or multiple disc levels require treatment. Before closure, the surgical site is thoroughly irrigated and inspected to ensure complete removal of disc material and absence of bleeding.
Post-operative recovery from microdiscectomy is typically rapid, with most patients experiencing immediate relief from leg pain and neurological symptoms. Patients usually go home the same day or after an overnight stay, and can return to light activities within a few days. Physical therapy may be recommended to restore strength and flexibility, with most patients returning to full activities within 6-8 weeks. Long-term success rates exceed 90%, making microdiscectomy one of the most effective treatments for appropriately selected patients with herniated lumbar discs.