No Comments// Posted in About Me, Random by Nielfa Hanifa on 03.23.10.

The surgery I’ll be having on Thursday:

Laminotomy and Discectomy

The traditional way of treating a herniated disc is to perform a laminotomy and discectomy. The term laminotomy means “make an opening in the lamina,” and the term discectomy means “remove the disc.”

This procedure is performed through an incision down the center of the back over the area of the herniated disc. The muscles are moved to the side so that the surgeon can see the back of the vertebrae. X-rays may be required during surgery to make sure the correct vertebra is located. The doctor cuts a small opening through the lamina bone on the back of the spinal column. This procedure, called “laminotomy,” is used to give the doctor room to see and work inside the spinal canal.

The nerve roots are moved out of the way. Upon locating the problem disc, the surgeon removes it, easing pressure and irritation on the nerves of the spine. Small instruments that fit inside the disc are used to remove as much of the nucleus as possible. This prevents the remaining disc material from herniating in the future.

The muscles of the back are returned to their normal position around the spine. The skin incision is repaired with sutures or metal staples.

Microdiscectomy

Improvements have been made in the tools available to the spinal surgeon for performing a laminotomy and discectomy. Microdiscectomy is essentially the same as traditional discectomy, but this newer approach has several advantages. A much smaller incision is need when performing a microdiscectomy. There is less damage to nearby parts of the spine. Patients tend to recover faster.

A small incision is made in the back just above the area where the disc is herniated. Muscles are moved aside to see the vertebrae. The surgeon positions a microscope in the small incision. The remainder of the surgery is performed like the traditional method.

Courtesy of this site.

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