Research & Innovation
Publications
CME-Fortbildung: Endoskopische Bandscheibenchirurgie
PMU Author
Christoph Siepe
All Authors
Christoph Siepe
Journal association
Die Wirbelsäule
Abstract
Microsurgical techniques significantly reduced the invasiveness of lumbar decompression surgeries in comparison to previous open techniques since their introduction in the 1980´s and nowadays represent the “gold standard” for the surgical treatment of pathologies such as lumbar disc herniations and/or spinal canal stenosis. The advantages of minimally invasive surgery (MIS) are multifold and include reduced access related tissue trauma, less postoperative wound pain, early patient mobilisation and return to daily living activities, reduced blood loss and others. Full-endoscopic techniques performed through a uniportal approach through a single 6–8mm skin achieved a further reduction of the surgical access related invasiveness. The risk of surgical site infection/wound healing problems is minimal, and surgeries can be performed almost independently of the patient´s weight. A considerable learning curve is required to fully acquire the surgical skills to master the endoscopic technique which is considered one of the drawbacks of the technique.
Keywords
Endoskopie, Wirbelsäule, Bandscheibenvorfall, Spinalkanalstenose, Minimalinvasive Chirurgie