Autor: Ondra Petr, Dept. of Neurosurgery, Medical University Innsbruck Spoluautoři:
Objective:
This educational abstract is designed to elucidate the principles, techniques, and clinical significance of lumbar microdiscectomy, aiming to enhance the foundational knowledge and surgical skills of neurosurgical residents. Lumbar microdiscectomy stands as a pivotal surgical intervention for lumbar disc herniation (LDH), offering symptomatic relief and functional improvement in patients suffering from radicular pain and neurological deficits.
Methodology:
This abstract synthesizes key aspects of lumbar microdiscectomy, incorporating an overview of patient selection, anatomical considerations, surgical indications, and a step-by-step description of the procedure. Emphasis is placed on mastering the microsurgical technique, understanding the nuances of intraoperative decision-making, and recognizing potential complications and their management. The curriculum is supplemented with a review of the current literature, including recent advances and outcomes research, to provide a comprehensive learning resource.
Results:
Lumbar microdiscectomy involves the precise removal of herniated disc material that compresses nerve roots, thereby alleviating symptoms of sciatica and neurogenic claudication. Mastery of this procedure requires detailed knowledge of lumbar spine anatomy, proficiency in microsurgical techniques, and an understanding of postoperative care to maximize patient outcomes and minimize complications. The procedure’s efficacy is evidenced by high rates of symptom relief and low incidence of complications in the literature, underscoring its importance in neurosurgical practice.
Conclusion:
Lumbar microdiscectomy is an essential procedure within the neurosurgical repertoire, necessitating a thorough understanding and proficiency for those in training. It offers an invaluable intervention for patients with LDH, significantly improving their quality of life. Neurosurgical residents are encouraged to actively engage in learning opportunities, including surgical simulations, cadaveric dissections, and supervised clinical experiences, to develop the competencies required for this technique. As residents progress, ongoing education and exposure to emerging technologies and approaches will be crucial for maintaining excellence in patient care and surgical outcomes.
Klíčová slova: o-petr-lumbar-microdiscectomy