Doctor insights on:
Lapendectomy Back Surgery
What kind?: Spine surgery can range from outpatient, minimally invasive surgery done with the patient under a local anesthesia to complex, multi staged reconstructive spine surgery requiring close monitoring intraoperatively and post operatively with placement into a rehabilitation facility after leaving the hospital for several weeks or longer. ...Read more
Varies: Most of the time it is done under general anesthesia (put to sleep with drugs), cleansing the skin, making an incision, moving tissues gently out of the way to get to the problem area. Depending on the problem, abnormal tissue may be removed or a fusion (making part of the spine stiff but stable). Sometimes implants of various kinds are used. The size of the surgery varies tremendously. ...Read more
Back surgery: Common types include microdiskectomy (disk herniation removal), laminectomy (remove bone spur pressure by unroofing spine), these are usually outpatient. Lumbar fusion can be done by different techniques (transforaminal lumbar interbody fusion, posterior lif), extreme lateral interbody fusion (xlif) is often done for revision or deformity surgery. Most fusions use rods, screws, cages, bone graft. ...Read more
Why and what surgery: First question is, do you need surgery? Seek a second opinnion. Most times back surgery stabilizes the spne but does not necessarily reduce the pain. A reputable pain management specialist can help you in that decision. Do not mask the pain with medications though. Find the root cause and treat with the least invasive treatment possible. ...Read more
Serious: All surgeries carry some degree of risk. The "seriousness" of the surgery also depends on what type of surgical procedure is being done, i.E minimally invasive vs a fusion. Talk to your surgeon to ascertain the risks involved and consider a second opinion to see if surgery is the best option. ...Read more
Generally very safe: Spine surgery has come a long way in the last 20 years. Most spine problems, fortunately do not require surgery so by all means try conservative, non-surgical options first. ...Read more
Yes: It is a non fusion device used to treat spinal stenosis. Basically, it is implanted between the spinous processes and distracts between them, thereby opening up the nerve canal. I used to do a lot more of them, but a recent paper shows they have a 26 percent reoperation rate. I still think they are a good option for the properly selected patient. ...Read more
That depends on the: Type of surgery you had and what outcome you have as well as your overall physical condition currently. You would need to speak to your surgeon as to specifics but once healed and recovered exercise in terms of cardio, core stabilization and flexibility are recommended. ...Read more
Depends: This depends on your age and health, whether surgery is indicated and how complex the surgery is and/ or how compkex the diagnosis is and sometimes how long standing the problem is. The skill of the surgeon and nursing care is important. The rate of conplications and type of complications with this surgery are important. If you smoke, it is a major negative for a good outcome. ...Read more
Many types!: Exercise for your back is vitally important after surgery. The kind of exercise varies based on the type of surgery but generally speaking: stretching and core strengthening, more pecifically yoga and pilates are good choices. That doesn't mean you can't play golf or tennis it just means you should be focusing some time specifically on your back (and core). ...Read more
Ask your surgeon as: Factors including age, health, physical & mental condition at time of surgery as well as type & extent of surgery. Complications or their absence plays a role. Minimally invasive surgery v open surgery makes a difference as does the case if a revision surgery or if it includes a fusion v decompression. The approach of the surgery through the abdomen, chest, back or combination factors in too. ...Read more
What surgery: That is definately a question for your surgeon he/she fixed you up, and only the surgeon knows the right time to wait after surgery. Having said that there are some surgeries after which you should not return to the wieight bench. Your surgeon can guide you do not become a couch potato regardless. Do less impact exrcise often. ...Read more
Not bad: I have never had back surgery but have performed several thousand cases. If you are asking about a laminotomy & discectomy when performed with miss technique the procedure is usually performed in an outpatient setting. There is initial soreness of the muscles controlled with ice packs & oral analgesic meds. Patients with sedentary jobs usually are back to work in 10 to 14 days. ...Read more
Varies: It varies a lot based upon the type of surgery you had. Some surgeries have very little recovery at all, even as low as a few days. Others, such as fusions, may take even up to 6 months to fully recover. If it gets beyond that, you may need some more testing to make sure nothing else is going on. ...Read more
Any surg sub fascia: Any surg that enters the muscles & beyond. Usually means involving work on the bone structurs disks r considered back surgery. They include a multitude of procedures. 2 many 2 list here! ...Read more
Covered: On your stomach covered with drapes small area of back exposed and scrubbed. ...Read more
It depends on many-:
-factors. If it a clear cut herniated disk substantiated by MR, physical symptoms & physical examination, the success rate is high 90's. I fit that pic had a micro diskectomy, in my garden on day 3.pain in leg gone. Not 1 bit of trouble for 33 yrs. The more you drift away from the perfect storm, the lower the% of success. I assume you know all possible risks all the way 2 death.
Good Luck! ...Read more
Depend: The recovery from spinal surgery depend on the nature of the operation. For discectomy, traditional open vs micro discectomy/microendoscopic (miss), miss is shorter. Most patient return to full activity within 6 weeks. With a fusion procedure, recovery depend on number of levels involved and how vigorous the rehab program you actively participat in. It may vary anywhere from 12 wks to many month. ...Read more
Postop diet: No particular avoid items except anti-inflammatory meds if you've had a fusion. Eat foods that help to keep you regular: high fiber, bulk, and supplement as necessary. Understand narcotic medications and lessened activity levels cause constipation. Take iron if your blood count is low after a more major surgery. Calcium is also helpful in cases of fusion. Eat small, 6 meals per day to maintain wt. ...Read more
Depends: This depends on how long & severe the compression was as well as the underlying "health" of the nerve-the age of the person, is diabetes involved, a vitamin deficiency, a prior injury or surgery to that nerve, toxic exposure- all play role in prognosis or ability of the nerve to "heal" over time. For most, pain is usually alleviated once nerve is decompressed, but neurologic recovery is variable. ...Read more
DEPEND: There are many different types of back surgery for many different problems. Younger individual tend to recover quicker than the older patient. You should speak to your surgeon regarding his/her patient experience for the type of surgery you will or has undergone. ...Read more
Backsurgery: After back surgery it's always good to check with your surgeon. At any rate try to remain active and mobile. ...Read more
Depends on Type: Could be a few weeks to a few months, depending on what type of spine surgery was performed. Ask your surgeon to go over the specific surgery he/she is proposing for you including the expected recovery course. ...Read more
Unlikely: Although anything is possible especially with extreme moments, it is unlikely with day to day activity. ...Read more
I'm having back surgery tomorrow and really worried. Ocan you offer me some helpful hints on how to go?
Many Ways: Anxiety before surgery is to be expected. I suggest methods of relaxation such as meditation, music, exercise, sexual activity (protection), moderate use of alcohol (if ok with surgeon), family/friends support. I also ask patients to remember that objectively speaking, they should be aware that they will be safer during the time of surgery that driving on the freeway. Best wishes. ...Read more
I have had major back surgery and fusions, in the process I have lost like 20 lbs. What can I use to help gain it back?
Postop nutrition: Healing spinal fusion surgery requires optimal nutrition. It is very common to lose weight as recovery requires a great deal of energy and increased metabolism. These can deplete your body stores and result in unplanned weight loss. Supplemental nutrition shakes, such as Ensure or Boost, along with a balanced diet can be helpful in the postoperative period to promote healing. ...Read more
My husband needs back surgery but can't get it done because of his weight. Is there a way around the requirements to have to be in a group for months?
Talk to the surgeon:
Weight (both overweight and underweight) can be a risk factor for complications of surgery - particularly a major surgery.
Discussing the reasoning behind delaying surgery with the surgeon who may perform the surgery can give a better understanding of the reason behind the delay and the importance of addressing weight or other issues before surgery. ...Read more