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International Patient CareBest Hospital for Lumbar Microdiscectomy Surgery with Advanced Neurosurgical Care
At Medicover Hospitals, our neurosurgeons, with qualifications like MS, DNB, and MCh, perform lumbar microdiscectomy using minimally invasive techniques. This surgical approach ensures smaller incisions and reduced blood loss, facilitating a quicker recovery and shorter hospital stay for patients across India.
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What is Lumbar Microdiscectomy?
Lumbar microdiscectomy is a minimally invasive surgical procedure. It involves removing a portion of a herniated disc in the lower spine (lumbar region). The goal is to relieve pressure on the spinal nerves. This can reduce pain and improve mobility. The procedure uses small incisions and a microscope for precision.
This surgery is needed when a herniated disc causes severe leg pain, numbness, or weakness. These symptoms can affect daily activities. Conditions like sciatica or lumbar disc herniation often require this procedure. If untreated, nerve damage or chronic pain may occur. Modern approaches include endoscopic microdiscectomy and minimally invasive techniques. These methods aim to reduce recovery time and improve outcomes.
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Complete Guide To Lumbar Microdiscectomy
Everything you need to know about the procedure, preparation, and recovery
Lumbar Microdiscectomy Surgery Indications
Doctors recommend lumbar microdiscectomy when conservative treatments fail to relieve symptoms of nerve compression in the lower back. This procedure is often suggested to alleviate pain and improve mobility.
Severe Sciatica
Patients experience sharp, shooting pain from the lower back down the leg. MRI or CT scans show a herniated disc pressing on the sciatic nerve. When pain persists despite medication and physical therapy, surgery is considered.
Leg Weakness
Patients report difficulty in lifting the foot or standing on toes. Neurological exams reveal muscle weakness due to nerve compression. Surgery is advised if weakness does not improve with conservative care.
Bladder or Bowel Dysfunction
Patients may face difficulty controlling bladder or bowel movements. Imaging shows a large disc herniation causing cauda equina syndrome. Immediate surgery is necessary to prevent permanent damage.
Chronic Lower Back Pain
Persistent back pain radiates to the legs, affecting daily activities. Imaging confirms disc herniation with nerve root compression. When pain management and therapy fail, surgery is an option.
Numbness or Tingling
Patients feel numbness or tingling in the legs or feet. Diagnostic tests show nerve compression due to a herniated disc. Surgery is recommended if symptoms do not improve with non-surgical treatments.
How to Prepare for Lumbar Microdiscectomy?
Preparation is crucial for a successful lumbar microdiscectomy. It helps minimise risks and ensures a smooth recovery. Follow these steps for optimal results.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting Guidelines: Fast for at least 8 hours before the procedure, as general anaesthesia is used.
- Pre-Surgery Tests: Complete any blood tests or imaging studies your doctor recommends.
- Clothing: Wear loose, comfortable clothing on the day of the surgery.
- Transportation: Arrange for someone to drive you home post-surgery.
- Medication List: Bring a list of your current medications, including dosages, to the hospital.
- Smoking and Alcohol: Avoid smoking and alcohol for at least 24 hours before surgery.
- Home Preparation: Set up a comfortable recovery area at home with essentials within reach.
Lumbar Microdiscectomy Surgery (Step-by-Step)
Lumbar microdiscectomy is performed by neurosurgeons. The surgery typically lasts 1-2 hours and is done under general anaesthesia.
- Preparation: The patient is positioned face down on the operating table. General anaesthesia is administered to ensure the patient is asleep and pain-free.
- Incision: A small incision, about 1-2 cm, is made in the lower back. This allows access to the affected area of the spine.
- Muscle Retraction: Muscles are gently moved aside using a retractor. This provides a clear view of the spine without cutting the muscles.
- Accessing the Disc: A small portion of the bone or ligament may be removed to reach the herniated disc. Instruments like a curette or bipolar cautery may be used.
- Removing the Disc Material: The herniated disc material pressing on the nerve is carefully removed. This relieves pressure on the nerve, reducing pain and discomfort.
- Closure: The incision is closed with sutures or staples. A sterile bandage is applied to protect the area.
- Recovery: The patient is monitored as they wake from anaesthesia. Pain management and mobility exercises are discussed before discharge.
Who Performs Lumbar Microdiscectomy Surgery?
Neurosurgeons, specialists in spine and nervous system conditions, perform lumbar microdiscectomy. They have expertise in minimally invasive techniques and spinal anatomy.
Recovery After Lumbar Microdiscectomy Surgery
Recovery from lumbar microdiscectomy surgery involves gradual healing and resumption of daily activities. Patients can expect some discomfort initially, but this typically improves over time. Following your surgeon's advice is crucial for a smooth recovery.
Day 1-3:
- Rest is essential. Avoid strenuous activities.
- Short walks are encouraged to prevent blood clots.
- Consume light, easily digestible foods like curd, dal-rice, and soups.
Day 4-7:
- Gradually increase walking distance as tolerated.
- Continue with a balanced diet including khichdi and moong dal for energy.
- Avoid bending, lifting, or twisting.
Day 8-14:
- Most patients can resume light activities and return to work or school if it involves minimal physical effort.
- Introduce gentle stretching exercises as advised by your physiotherapist.
- Maintain a diet rich in proteins and fibres to aid recovery.
Phase 3-6 Weeks:
- Gradual return to normal activities. Avoid heavy lifting.
- Continue physiotherapy exercises to strengthen back muscles.
- Regular follow-up appointments to monitor progress.
When to Seek Urgent Help
- Severe pain not relieved by medication.
- Numbness or weakness in legs.
- Loss of bladder or bowel control.
- Signs of infection like fever or redness at the incision site.
Benefits of Lumbar Microdiscectomy Surgery
Lumbar microdiscectomy is a surgical procedure aimed at relieving pressure on spinal nerves caused by a herniated disc.
- Pain Relief: Often provides significant reduction in leg and back pain.
- Improved Mobility: Many patients experience enhanced movement and flexibility post-surgery.
- Quick Recovery: Typically involves a shorter recovery period compared to traditional open surgery.
- Minimally Invasive: Smaller incisions lead to less scarring and reduced risk of infection.
Risks and Complications of Lumbar microdiscectomy Surgery
While lumbar microdiscectomy is generally safe, it carries certain risks and potential complications.
- Infection at the surgical site.
- Bleeding or blood clots.
- Nerve damage leading to numbness or weakness.
- Recurrence of disc herniation.
- Leakage of spinal fluid.
- Reaction to anaesthesia.
What is the Cost of Lumbar Microdiscectomy Surgery?
The cost of Lumbar Microdiscectomy surgery typically ranges from Rs. 1,00,000 to Rs. 3,70,000, depending on factors such as the surgical approach, duration of hospital stay, room category, diagnostic investigations, and post-operative care required.
At Medicover Hospitals, we provide transparent pricing for Lumbar Microdiscectomy surgery. Insurance and TPA support are available, including CGHS, ESI, and major TPAs, with cashless treatment facilities offered. Patients are advised to contact the hospital for the latest insurance panel information, as empanelment details may change periodically.
Frequently Asked Questions
1. How much does Lumbar microdiscectomy cost?
The cost of Lumbar Microdiscectomy Surgery ranges from ₹1,00,000 to ₹3,70,
2. Please contact Medicover Hospitals for detailed pricing information. 2. Is Lumbar microdiscectomy covered by insurance?
Lumbar microdiscectomy may be covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Will I have nerve pain after surgery?
Some patients may experience temporary nerve pain after lumbar microdiscectomy. This usually subsides within a few weeks as healing progresses.
4. Can I lift heavy objects post-surgery?
Avoid lifting heavy objects for at least six weeks after lumbar microdiscectomy. Gradual resumption is advised based on your doctor's recommendations.
5. Will I need physiotherapy after surgery?
Physiotherapy is often recommended after lumbar microdiscectomy to aid recovery. It helps in regaining strength and improving mobility.
6. Can I sit for long periods post-surgery?
Prolonged sitting should be avoided initially after lumbar microdiscectomy. Short breaks and gentle movements are encouraged to prevent discomfort.
7. Is there a risk of disc re-herniation?
There is a small risk of disc re-herniation after lumbar microdiscectomy. Regular follow-ups and adherence to post-surgery guidelines can reduce this risk.
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