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Updated: Apr 16, 2026

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
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Repeated microendoscopic discectomy for recurrent lumbar disk herniation.

Tianyong Hou1, Qiang Zhou1, Fei Dai1

  • 1National & Regional United Engineering Lab of Tissue Engineering, Department of Orthopaedics, Southwest Hospital, the Third Military, Medical University, Chongqing, China.

Clinics (Sao Paulo, Brazil)
|March 20, 2015
PubMed
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Microendoscopic discectomy offers a minimally invasive option for recurrent lumbar disc herniation, achieving excellent or good outcomes in 96% of patients with reduced complications and faster recovery.

Area of Science:

  • Neurosurgery
  • Minimally Invasive Spine Surgery

Background:

  • Recurrent lumbar disc herniation presents challenges in treatment.
  • Microendoscopic discectomy is an evolving technique for spinal conditions.

Purpose of the Study:

  • To evaluate the efficacy and safety of microendoscopic discectomy for recurrent lumbar disc herniation.
  • To define inclusion criteria and technical considerations for optimal outcomes.

Main Methods:

  • Posterior microendoscopic discectomy was performed on 25 patients.
  • Strict inclusion criteria excluded severe pain, instability, discitis, and endplate damage.
  • Patients were diagnosed via clinical evaluation and imaging.

Main Results:

  • 96% of patients achieved excellent or good outcomes (MacNab criteria).

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A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations
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  • No nerve injuries or other complications were observed.
  • Significant reductions in leg pain and disability index were noted post-surgery.

    • Conclusions:

    • Microendoscopic discectomy is effective for recurrent lumbar disc herniation.
    • The technique offers advantages including smaller incisions, less bleeding, and quicker recovery.
    • Careful patient selection and technical execution are key to success.