Related Experiment Video
Updated: Feb 1, 2026
05:42
Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
Published on: April 7, 2023
1.3K
Extradiscal Epiduroscopic Percutaneous Endoscopic Discectomy for Upper Lumbar Disc Herniation A Technical Note
Myung-Hoon Shin1, Jung-Sik Bae2, Hyung-Lea Cho3
1Department of Neurosurgery, Incheon St Mary's Hospital, College of Medicine, The Catholic University.
Clinical Spine Surgery
|December 12, 2018
Summary
A new extradiscal epiduroscopic percutaneous lumbar discectomy (PELD) technique offers a promising solution for challenging upper lumbar disc herniations, leading to rapid symptom relief and discharge.
Area of Science:
- Neurosurgery
- Minimally Invasive Spine Surgery
- Spinal Endoscopy
Background:
- Upper lumbar disc herniation (1-2% of cases) presents unique anatomical challenges.
- Conventional transforaminal PELD may be less effective for upper lumbar disc herniation.
- Improved techniques are needed for better outcomes in this specific patient group.
Observation:
- A novel extradiscal epiduroscopic PELD technique was developed for upper lumbar disc herniation.
- The approach utilizes a ~30-degree axial plane angle, directly targeting the herniated disc.
- The technique was applied to four patients with herniation at L1-L2 or L2-L3 levels.
Findings:
- All four treated patients experienced significant symptom relief.
- Patients were discharged the day after the procedure, indicating a favorable short-term recovery.
- The new technique demonstrated effectiveness in managing upper lumbar disc herniation.
Implications:
- Extradiscal epiduroscopic PELD is a viable and promising treatment for upper lumbar disc herniation.
- This technique may improve outcomes in cases previously associated with poor results.
- Further research could validate this approach for a wider patient population.
Related Concept Videos
01:12Arteries of the Upper Limbs
2.3K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
2.3K
01:17Veins of Upper Limbs
4.2K
The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
4.2K
01:19Bones of the Upper Limb: Humerus
7.2K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
7.2K
01:27Upper Respiratory Drugs: Decongestants
908
Decongestants are a class of medications used primarily to alleviate nasal congestion, a common symptom resulting from allergies, colds, sinusitis, and other upper respiratory tract infections. These drugs work by activating α-adrenergic receptors, constricting small blood vessels in the nasal membranes. This action results in the opening of clogged nasal passages, thereby facilitating sinus drainage and relieving congestion.
Most decongestants are readily available over-the-counter in...
Most decongestants are readily available over-the-counter in...
908
01:26Endoscopic Studies II: Thoracocentesis
1.4K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.4K
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
1.1K
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
1.1K