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Updated: Aug 2, 2026

05:50
A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations
Published on: August 7, 2018
[Lumbar disk herniation with surgical option: general versus local anesthesia. Round table]
Summary
Spinal anesthesia is a safe and effective option for lumbar disc hernia surgery, offering high patient satisfaction and minimal complications. This approach is preferred in over 40% of cases at Lille CHU.
Area of Science:
- Neurosurgery
- Anesthesiology
Background:
- Lumbar disc hernia is a common condition requiring surgical intervention.
- Surgical positioning, such as the knee-chest position, can compromise patient circulation and ventilation.
- Anesthesia options include general anesthesia with intubation or regional techniques like peridural or spinal anesthesia.
Purpose of the Study:
- To evaluate the safety and efficacy of spinal anesthesia for lumbar disc hernia surgery.
- To assess patient satisfaction and complication rates associated with spinal anesthesia in this surgical context.
Main Methods:
- Retrospective analysis of 1871 consecutive cases of lumbar disc surgery.
- Focus on patients who received spinal anesthesia.
- Data collection on patient satisfaction and anesthetic complications.
Main Results:
- Spinal anesthesia was chosen for over 40% of patients undergoing lumbar disc surgery at Lille CHU.
- Patients reported a high level of satisfaction with spinal anesthesia.
- No significant complications directly attributable to spinal anesthesia were observed in the series.
Conclusions:
- Spinal anesthesia is a viable and well-tolerated anesthetic technique for lumbar disc hernia surgery.
- The high patient satisfaction and safety profile support the increased utilization of spinal anesthesia for these procedures.
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