How I do it: percutaneous transforaminal endoscopic discectomy for lumbar disk herniation
Background Percutaneous transforaminal endoscopic discectomy (PTED) has emerged as a less invasive technique to treat symptomatic lumbar disk herniation (LDH). PTED is performed under local anesthesia with the advantage of immediate intraoperative feedback of the patient. In this paper, the techniqu...
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| Veröffentlicht in: | Acta neurochirurgica 2018-12, Vol.160 (12), p.2473-2477 |
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| container_title | Acta neurochirurgica |
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| creator | Depauw, Paul R. A. M. Gadjradj, Pravesh S. Soria van Hoeve, John S. Harhangi, Biswadjiet S. |
| description | Background
Percutaneous transforaminal endoscopic discectomy (PTED) has emerged as a less invasive technique to treat symptomatic lumbar disk herniation (LDH). PTED is performed under local anesthesia with the advantage of immediate intraoperative feedback of the patient. In this paper, the technique is described as conducted in our hospital.
Methods
PTED is performed under local anesthesia in prone position on thoracopelvic supports. The procedure is explained stepwise: e.g. marking, incision, introduction of the 18-gauge needle and guidewire to the superior articular process, introduction of the TomShidi needle and foraminotomy up to 9 mm, with subsequently removal of disk material through the endoscope. Scar size is around 8 mm.
Conclusion
PTED seems a promising alternative to conventional discectomy in patients with LDH and can be performed safely. |
| doi_str_mv | 10.1007/s00701-018-3723-5 |
| format | Article |
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Percutaneous transforaminal endoscopic discectomy (PTED) has emerged as a less invasive technique to treat symptomatic lumbar disk herniation (LDH). PTED is performed under local anesthesia with the advantage of immediate intraoperative feedback of the patient. In this paper, the technique is described as conducted in our hospital.
Methods
PTED is performed under local anesthesia in prone position on thoracopelvic supports. The procedure is explained stepwise: e.g. marking, incision, introduction of the 18-gauge needle and guidewire to the superior articular process, introduction of the TomShidi needle and foraminotomy up to 9 mm, with subsequently removal of disk material through the endoscope. Scar size is around 8 mm.
Conclusion
PTED seems a promising alternative to conventional discectomy in patients with LDH and can be performed safely.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-018-3723-5</identifier><identifier>PMID: 30417203</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Anesthesia ; Anesthesia, Local - methods ; Diskectomy, Percutaneous - adverse effects ; Diskectomy, Percutaneous - methods ; Endoscopes ; Endoscopy ; Endoscopy - adverse effects ; Endoscopy - methods ; Foraminotomy - adverse effects ; Foraminotomy - methods ; How I Do it - Spine degenerative ; Humans ; Interventional Radiology ; Intervertebral Disc Degeneration - surgery ; Intervertebral Disc Displacement - surgery ; Local anesthesia ; Lumbar Vertebrae - surgery ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Neurology ; Neuroradiology ; Neurosurgery ; Patient Positioning - methods ; Postoperative Complications - etiology ; Prone position ; Spine degenerative ; Surgical Orthopedics</subject><ispartof>Acta neurochirurgica, 2018-12, Vol.160 (12), p.2473-2477</ispartof><rights>The Author(s) 2018</rights><rights>Acta Neurochirurgica is a copyright of Springer, (2018). All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-35342a0a22bcb571cfbd02ca03c2d1f8b60ad0bcb934086bcb800a1d39d6ff303</citedby><cites>FETCH-LOGICAL-c470t-35342a0a22bcb571cfbd02ca03c2d1f8b60ad0bcb934086bcb800a1d39d6ff303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00701-018-3723-5$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00701-018-3723-5$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30417203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Depauw, Paul R. A. M.</creatorcontrib><creatorcontrib>Gadjradj, Pravesh S.</creatorcontrib><creatorcontrib>Soria van Hoeve, John S.</creatorcontrib><creatorcontrib>Harhangi, Biswadjiet S.</creatorcontrib><title>How I do it: percutaneous transforaminal endoscopic discectomy for lumbar disk herniation</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>Background
Percutaneous transforaminal endoscopic discectomy (PTED) has emerged as a less invasive technique to treat symptomatic lumbar disk herniation (LDH). PTED is performed under local anesthesia with the advantage of immediate intraoperative feedback of the patient. In this paper, the technique is described as conducted in our hospital.
Methods
PTED is performed under local anesthesia in prone position on thoracopelvic supports. The procedure is explained stepwise: e.g. marking, incision, introduction of the 18-gauge needle and guidewire to the superior articular process, introduction of the TomShidi needle and foraminotomy up to 9 mm, with subsequently removal of disk material through the endoscope. Scar size is around 8 mm.
Conclusion
PTED seems a promising alternative to conventional discectomy in patients with LDH and can be performed safely.</description><subject>Anesthesia</subject><subject>Anesthesia, Local - methods</subject><subject>Diskectomy, Percutaneous - adverse effects</subject><subject>Diskectomy, Percutaneous - methods</subject><subject>Endoscopes</subject><subject>Endoscopy</subject><subject>Endoscopy - adverse effects</subject><subject>Endoscopy - methods</subject><subject>Foraminotomy - adverse effects</subject><subject>Foraminotomy - methods</subject><subject>How I Do it - Spine degenerative</subject><subject>Humans</subject><subject>Interventional Radiology</subject><subject>Intervertebral Disc Degeneration - surgery</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Local anesthesia</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Patient Positioning - methods</subject><subject>Postoperative Complications - etiology</subject><subject>Prone position</subject><subject>Spine degenerative</subject><subject>Surgical Orthopedics</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1UctO3TAQtVAR7w_oprLUDZuUsZ3EuV1UQggKEhIbuujKcmwHTBP71k5A_H0nhPKo1M147HPmeGYOIR8ZfGEA8ihjAFYAawohuSiqDbIDq5IXGOAD5oBozetmm-zmfIc3LkuxRbYFlExyEDvk53l8oBfURurHr3TtkplGHVycMh2TDrmLSQ8-6J66YGM2ce0NtT4bZ8Y4PFLEaT8NrU7z6y9661LwevQx7JPNTvfZHTyfe-TH2en1yXlxefX94uT4sjClhLEQlSi5Bs15a9pKMtO1FrjRIAy3rGvaGrQFxFaihKbGpAHQzIqVrbtOgNgj3xbd9dQOzhoXsPFerZMfdHpUUXv1Hgn-Vt3Ee4WLkZKtUODwWSDF35PLoxrm-fp-2YPiTHBeYZsVUj__Q72LU8LtPLGYLFkjJLLYwjIp5pxc99IMAzUbpxbjFBqnZuPUrPzp7RQvFX-dQgJfCBmhcOPS69f_V_0DTEqk7Q</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Depauw, Paul R. A. M.</creator><creator>Gadjradj, Pravesh S.</creator><creator>Soria van Hoeve, John S.</creator><creator>Harhangi, Biswadjiet S.</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181201</creationdate><title>How I do it: percutaneous transforaminal endoscopic discectomy for lumbar disk herniation</title><author>Depauw, Paul R. A. M. ; Gadjradj, Pravesh S. ; Soria van Hoeve, John S. ; Harhangi, Biswadjiet S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-35342a0a22bcb571cfbd02ca03c2d1f8b60ad0bcb934086bcb800a1d39d6ff303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anesthesia</topic><topic>Anesthesia, Local - methods</topic><topic>Diskectomy, Percutaneous - adverse effects</topic><topic>Diskectomy, Percutaneous - methods</topic><topic>Endoscopes</topic><topic>Endoscopy</topic><topic>Endoscopy - adverse effects</topic><topic>Endoscopy - methods</topic><topic>Foraminotomy - adverse effects</topic><topic>Foraminotomy - methods</topic><topic>How I Do it - Spine degenerative</topic><topic>Humans</topic><topic>Interventional Radiology</topic><topic>Intervertebral Disc Degeneration - surgery</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Local anesthesia</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosurgery</topic><topic>Patient Positioning - methods</topic><topic>Postoperative Complications - etiology</topic><topic>Prone position</topic><topic>Spine degenerative</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Depauw, Paul R. A. M.</creatorcontrib><creatorcontrib>Gadjradj, Pravesh S.</creatorcontrib><creatorcontrib>Soria van Hoeve, John S.</creatorcontrib><creatorcontrib>Harhangi, Biswadjiet S.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Depauw, Paul R. A. M.</au><au>Gadjradj, Pravesh S.</au><au>Soria van Hoeve, John S.</au><au>Harhangi, Biswadjiet S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How I do it: percutaneous transforaminal endoscopic discectomy for lumbar disk herniation</atitle><jtitle>Acta neurochirurgica</jtitle><stitle>Acta Neurochir</stitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>160</volume><issue>12</issue><spage>2473</spage><epage>2477</epage><pages>2473-2477</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>Background
Percutaneous transforaminal endoscopic discectomy (PTED) has emerged as a less invasive technique to treat symptomatic lumbar disk herniation (LDH). PTED is performed under local anesthesia with the advantage of immediate intraoperative feedback of the patient. In this paper, the technique is described as conducted in our hospital.
Methods
PTED is performed under local anesthesia in prone position on thoracopelvic supports. The procedure is explained stepwise: e.g. marking, incision, introduction of the 18-gauge needle and guidewire to the superior articular process, introduction of the TomShidi needle and foraminotomy up to 9 mm, with subsequently removal of disk material through the endoscope. Scar size is around 8 mm.
Conclusion
PTED seems a promising alternative to conventional discectomy in patients with LDH and can be performed safely.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>30417203</pmid><doi>10.1007/s00701-018-3723-5</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Anesthesia Anesthesia, Local - methods Diskectomy, Percutaneous - adverse effects Diskectomy, Percutaneous - methods Endoscopes Endoscopy Endoscopy - adverse effects Endoscopy - methods Foraminotomy - adverse effects Foraminotomy - methods How I Do it - Spine degenerative Humans Interventional Radiology Intervertebral Disc Degeneration - surgery Intervertebral Disc Displacement - surgery Local anesthesia Lumbar Vertebrae - surgery Medicine Medicine & Public Health Minimally Invasive Surgery Neurology Neuroradiology Neurosurgery Patient Positioning - methods Postoperative Complications - etiology Prone position Spine degenerative Surgical Orthopedics |
| title | How I do it: percutaneous transforaminal endoscopic discectomy for lumbar disk herniation |
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