Conventional versus tubular microdiscectomy for lumbar disc herniation: A prospective randomized study
Background: Microdiscectomy is a commonly performed surgical technique used to treat lumbar disc prolapse. A minimally invasive alternative called tubular discectomy is hypothesized to cause less tissue damage and result in a faster recovery compared to conventional discectomy. Previous studies have...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
|
| Series: | Indian Spine Journal |
| Subjects: | |
| Online Access: | http://www.isjonline.com/article.asp?issn=2589-5079;year=2024;volume=7;issue=1;spage=59;epage=65;aulast=Sonawane |
| _version_ | 1797246386997035008 |
|---|---|
| author | Dhiraj V Sonawane Habung Chobing Shivaprasad S Kolur Ajay Chandanwale Sagar A Jawale Naved A F A Ansari Eknath Pawar |
| author_facet | Dhiraj V Sonawane Habung Chobing Shivaprasad S Kolur Ajay Chandanwale Sagar A Jawale Naved A F A Ansari Eknath Pawar |
| author_sort | Dhiraj V Sonawane |
| collection | DOAJ |
| description | Background: Microdiscectomy is a commonly performed surgical technique used to treat lumbar disc prolapse. A minimally invasive alternative called tubular discectomy is hypothesized to cause less tissue damage and result in a faster recovery compared to conventional discectomy. Previous studies have found similar pain resolution outcomes between two techniques, but they were underpowered and lacked data on differences in recovery time. Our study aims to compare functional outcomes, and assess differences in recovery time and perioperative complications between the two procedures. Materials and Methods: This prospective randomized study included 63 patients, divided into two groups. The preoperative evaluation was done by clinical examination and documenting Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) scores. Intra- and postoperative complications were also noted. Postoperative follow-up assessment was done at regular intervals up to 2 years. Results: Both groups showed a significant decrease in ODI, VAS leg and back scores following surgery, which continued to decline throughout the follow-up period. However, there was no significant difference in outcomes between the two treatment groups at each postoperative follow-up. There were also no significant differences in blood loss or intra- and postoperative complications. Patients who underwent tubular microdiscectomy had a significantly shorter hospital stay compared to conventional microdiscectomy. Conclusion: Both conventional and tubular microdiscectomy are effective means of treating disc herniation. While patients who underwent tubular microdiscectomy had a shorter hospital stay, the modest clinical benefits do not necessarily warrant the transition to a minimally invasive approach given the learning curve associated with the technique. |
| first_indexed | 2024-04-24T19:41:59Z |
| format | Article |
| id | doaj.art-5b2fd1fa21c2468f8bba6ea9e209f50d |
| institution | Directory Open Access Journal |
| issn | 2589-5079 2589-5087 |
| language | English |
| last_indexed | 2024-04-24T19:41:59Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Spine Journal |
| spelling | doaj.art-5b2fd1fa21c2468f8bba6ea9e209f50d2024-03-25T10:58:51ZengWolters Kluwer Medknow PublicationsIndian Spine Journal2589-50792589-50872024-01-0171596510.4103/isj.isj_30_23Conventional versus tubular microdiscectomy for lumbar disc herniation: A prospective randomized studyDhiraj V SonawaneHabung ChobingShivaprasad S KolurAjay ChandanwaleSagar A JawaleNaved A F A AnsariEknath PawarBackground: Microdiscectomy is a commonly performed surgical technique used to treat lumbar disc prolapse. A minimally invasive alternative called tubular discectomy is hypothesized to cause less tissue damage and result in a faster recovery compared to conventional discectomy. Previous studies have found similar pain resolution outcomes between two techniques, but they were underpowered and lacked data on differences in recovery time. Our study aims to compare functional outcomes, and assess differences in recovery time and perioperative complications between the two procedures. Materials and Methods: This prospective randomized study included 63 patients, divided into two groups. The preoperative evaluation was done by clinical examination and documenting Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) scores. Intra- and postoperative complications were also noted. Postoperative follow-up assessment was done at regular intervals up to 2 years. Results: Both groups showed a significant decrease in ODI, VAS leg and back scores following surgery, which continued to decline throughout the follow-up period. However, there was no significant difference in outcomes between the two treatment groups at each postoperative follow-up. There were also no significant differences in blood loss or intra- and postoperative complications. Patients who underwent tubular microdiscectomy had a significantly shorter hospital stay compared to conventional microdiscectomy. Conclusion: Both conventional and tubular microdiscectomy are effective means of treating disc herniation. While patients who underwent tubular microdiscectomy had a shorter hospital stay, the modest clinical benefits do not necessarily warrant the transition to a minimally invasive approach given the learning curve associated with the technique.http://www.isjonline.com/article.asp?issn=2589-5079;year=2024;volume=7;issue=1;spage=59;epage=65;aulast=Sonawaneconventional microdiscectomylumbar discectomytubular microdiscectomy |
| spellingShingle | Dhiraj V Sonawane Habung Chobing Shivaprasad S Kolur Ajay Chandanwale Sagar A Jawale Naved A F A Ansari Eknath Pawar Conventional versus tubular microdiscectomy for lumbar disc herniation: A prospective randomized study Indian Spine Journal conventional microdiscectomy lumbar discectomy tubular microdiscectomy |
| title | Conventional versus tubular microdiscectomy for lumbar disc herniation: A prospective randomized study |
| title_full | Conventional versus tubular microdiscectomy for lumbar disc herniation: A prospective randomized study |
| title_fullStr | Conventional versus tubular microdiscectomy for lumbar disc herniation: A prospective randomized study |
| title_full_unstemmed | Conventional versus tubular microdiscectomy for lumbar disc herniation: A prospective randomized study |
| title_short | Conventional versus tubular microdiscectomy for lumbar disc herniation: A prospective randomized study |
| title_sort | conventional versus tubular microdiscectomy for lumbar disc herniation a prospective randomized study |
| topic | conventional microdiscectomy lumbar discectomy tubular microdiscectomy |
| url | http://www.isjonline.com/article.asp?issn=2589-5079;year=2024;volume=7;issue=1;spage=59;epage=65;aulast=Sonawane |
| work_keys_str_mv | AT dhirajvsonawane conventionalversustubularmicrodiscectomyforlumbardischerniationaprospectiverandomizedstudy AT habungchobing conventionalversustubularmicrodiscectomyforlumbardischerniationaprospectiverandomizedstudy AT shivaprasadskolur conventionalversustubularmicrodiscectomyforlumbardischerniationaprospectiverandomizedstudy AT ajaychandanwale conventionalversustubularmicrodiscectomyforlumbardischerniationaprospectiverandomizedstudy AT sagarajawale conventionalversustubularmicrodiscectomyforlumbardischerniationaprospectiverandomizedstudy AT navedafaansari conventionalversustubularmicrodiscectomyforlumbardischerniationaprospectiverandomizedstudy AT eknathpawar conventionalversustubularmicrodiscectomyforlumbardischerniationaprospectiverandomizedstudy |