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Doctor insights on: Percutaneous Discectomy

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What is pcnl (percutaneous nephrolithotomy)?

What is pcnl (percutaneous nephrolithotomy)?

PCNL: Minimally invasive surgery for removal of large kidney stone/s. Nephrostomy tube (catheter) is placed in kidney thru skin in back or flank, either under local anesthetic & with sedation or general anesthesia day before or day of procedure. Then nephroscope (kidney telescope) passed thru catheter channel, stone is visualized & broken up with laser or percussion "gun" & fragments are irrigated out. ...Read more

Percutaneous (Definition)

In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more


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What is the m.I.L.D. Procedure, minimally invasive lumbar diskectomy?

What is the m.I.L.D. Procedure, minimally invasive lumbar diskectomy?

A few variations: Minimally invasive lumbar diskectomies are when spine surgeons utilize a small retractor or tube through which they gain access to the spine. They can then perform surgery in a minimally invasive way to remove a herniated disk in your back. ...Read more

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Is reherniation after lumbar laminectomy with discectomy possible?

Is reherniation after lumbar laminectomy with discectomy possible?

No: If there was a complete diskectomy, there is nothing left to herniated, but if the surgeon just shaved the disk, then re-herniation can occur. ...Read more

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What is percutaneous nephrolithotomy?

What is percutaneous nephrolithotomy?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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Hows spinal decompression done?

Hows spinal decompression done?

Surgical: If you have spinal stenosis that require surgery, then a laminectomy is usually the type of surgery that would resolve the tightness. If you have a room that is full of people, and you want to make the room bigger you take the roof off. Essentially the lamina is the roof of the spinal canal and this can be removed to make more room for the spinal nerve elements. ...Read more

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Lumbar stenosis surgery safety?

Very safe: Most of these surgeries are done on an out patient basis w/ the patient returning to work w/in few days. These surgeries are done on a minimally invasive fashion w/ typically excellent results. ...Read more

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Is transforaminal lumbar interbody fusion a very common procedure?

Is transforaminal lumbar interbody fusion a very common procedure?

It is very common.: Transforaminal interbody fusion, or tlif, is a common spinal procedure. It is just one of many tools used in spine surgery. It's important that the decision for surgery be made carefully, and that the particular combination of procedures be individualized for a person's anatomy and symptoms. ...Read more

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Which is better in removing herniated disc ..The microdiscectomy vs endoscopic discectomy ?

Which is better in removing herniated disc ..The microdiscectomy vs endoscopic discectomy ?

Disc herniation: Both approaches to removing disc herniations are effective. The location of the herniation will dictated the best approach, whether more from the middle of the spine to an approach from the side of the spine. Many spine surgeons have experience with both microdiscectomy and endoscopic. It is important to discuss these approaches with the surgeon. ...Read more

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What?Physical therapy is required after lumbar laminectomy surgery?

What?Physical therapy is required after lumbar laminectomy surgery?

Maybe, maybe not: If physical therapy is required after your surgery, slow stretching and strengthening exercises will be employed. Nothing too strenuous will be used. Those exercises to help you with activities of daily living and restoration of function is important. ...Read more

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Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?

Ask your surgeon(s): They'll review your imaging with you and discuss your options. But before further surgeries, you mention physical therapy and cymbalta, (duloxetine) but there may be other non-surgical options including other medications, pain psychology and interventional pain procedures that may be helpful for your condition. Good luck! ...Read more

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What is posterior spinal fusion with instrumentation surgery?

What is posterior spinal fusion with instrumentation surgery?

A type of spine : Surgery where implants which are usually several screws that attach to the bones of the spine and are then interconnected over one or more levels with usually a pair of metal rods -this is the instrumentation. A fusion is a healing together of two or more spine bones or vertebra with the use of bone material or synthetic substitutes. ...Read more

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How effective is having spinal fusion with decompressive laminectomy?

How effective is having spinal fusion with decompressive laminectomy?

Depends on reason: This depends on the reason for this type of surgery, the number of levels involved. , whether this is a repeat surgery, the health and age of the patient, the smoking status of the patient, their weight and nutritional status and other co morbidities or problens like diabetes, thyroid disease, etc.. The bone density can also play a role, ie, osteoporosis. ...Read more

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How is a percutaneous nephrolithotomy done?

How is a percutaneous nephrolithotomy done?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

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How risky is minimally invasive spine surgery?

How risky is minimally invasive spine surgery?

Depends: It depends on exactly what is being done, your surgeon's experience and training, your size and medical condition, the type of condition being treated. All surgery has risks. Mis can reduce some risks, but may increase other. Have a frank discussion with the surgeon recommending the procedure. ...Read more

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Is laproscopic tubectomy safer than surgical tubectomy?

Is laproscopic tubectomy safer than surgical tubectomy?

Depends. : This depends on many factors. The complications are not quite the same. For many patients laparoscopy is safer but this is not always the case. Laparoscopy generally has a quicker recovery. ...Read more

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What is percutaneous transluminal coronary angioplasty (ptca)?

What is percutaneous transluminal coronary angioplasty (ptca)?

Heart vessel therapy: Percutaneous transluminal coronary angioplasty (PTCA) is the opening of blocked heart arteries with a balloon. An artery is stuck and a wire is passed in the system until reaching the heart arteries. A balloon is passed over the wire to the area of blockage and inflated. The blockage is flattened but it can return. So most patients actually get stents placed. Stents require blood thinners. ...Read more

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Is lithotripsy better or percutaneous nephrolithotomy better?

Is  lithotripsy better or percutaneous nephrolithotomy better?

It depends: Larger (>20 mm or >10-15 mm in lower pole) stones are probably best treated via percutaneous approach (pcnl). Shockwave lithotripsy (swl) may be less invasive for smaller stones. Swl (and ureteroscopy) may be combined with pcnl to remove all stone material. Pcnl typically requires inpatient hospitalization, more pain, risk of bleeding, but is more likely to result in complete stone clearance. ...Read more

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Anterior discetomy and fusion physical therapy protocol?

Anterior discetomy and fusion physical therapy protocol?

Lots of variables: Most doctors wait about four weeks before starting physical therapy after an acdf. Depending on the level of the surger, yphysical therapy activities will vary. Because of the long period of convalescence after a fusion like this, patients usually have compromised stamina, so treatment may include exercise to improve core strength. This is a good place to learn more: http://tinyurl.Com/p2z8ud. ...Read more

Dr. Scott Tromanhauser
211 doctors shared insights

Discectomy (Definition)

Discectomy is the a surgical procedure in which the ruptured portion of a ruptured spinal disc (the pad between two vertebrae) is removed. Disc tissue near the rupture may also be removed, but usually most of the disc is saved. If a spinal fusion is needed, a more ...Read more


Dr. Brad Goldenberg
178 doctors shared insights

Diskectomy (Definition)

The term discectomy refers to an excision of all or part of a disc. The disc itself is a cartilage structure that is located between two vertebral bodies. Disectomies are typically performed to improve pain and/or function in a patient that had ...Read more