Comparative Analysis of Percutaneous Full Endoscopic Discectomy and Microdiscectomy in the Management of Lumbar Disc Herniation
DOI:
https://doi.org/10.36552/pjns.v28i3.976Abstract
Objective: Percutaneous Full Endoscopic Discectomy and Microdiscectomy are two of the least invasive surgical procedures used in the management of lumber disc herniation. This study aimed to evaluate the clinical outcomes of percutaneous full endoscopic discectomy and microdiscectomy in the management of lumber disc herniation.
Materials and Methods: This retrospective study spanned two years. Patients with the diagnosis of lumbar disc herniation confirmed by clinical symptoms and imaging studies undergoing PFED or MD were included. The primary outcome measures included pain relief, assessed using the Visual Analog Scale (VAS), and functional improvement, and measured using the Oswestry Disability Index (ODI). Secondary outcome measures included the occurrence of surgical complications and length of hospital stay.
Results: This retrospective analysis included 480 participants in the study, with 247 patients undergoing Percutaneous Full Endoscopic Discectomy (PFED) and 233 patients undergoing Microdiscectomy (MD). In the PFED group, patients experienced an average mean reduction in leg pain score of 6.97 ±1.96 on the Visual Analog Scale (VAS) as compared to microdiscectomy (4.95 ± 2.45).
Conclusion: Our study concluded that both percutaneous full endoscopic discectomy and microdiscectomy are safe and efficient surgical techniques in the management of lumber disc herniation. However, PELD showed several possible benefits, such as quicker recovery and earlier LBP reductions, improvement in bowel and bladder symptoms along earlier return to work.
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Additional Information
Disclosures: Authors report no conflict of interest.
Ethical Review Board Approval: The research was a retrospective study.
Human Subjects: Consent was obtained by all patients/participants in this study.
Conflicts of Interest:
In compliance with the ICMJE uniform disclosure form, all authors declare the following:
Financial Relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work.
Other Relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
Data Availability Statement: The data is available upon reasonable request.
Funding: This study received no specific donation from any funding association in the public, commercial, or not-for-profit sectors.
AUTHOR CONTRIBUTIONS
Sr. No. Author’s Full Name Intellectual Contribution to Paper in Terms of
Muhammad Farooq & Abdul Haseeb Sahibzada 1. Study design and methodology.
Muhammad Farooq & Shahid Nawaz 2. Paper writing.
Muhammad Farooq & Mumtaz Ali 3. Data collection and calculations.
Muhammad Farooq, Abdal Wasim Khan & Abdul Haseeb Sahibzada 4. Analysis of data and interpretation of results.
Naeem ul Haq & Muhammad Nawaz, 5. Literature review and referencing.
Muhammad Farooq & Abdul Haseeb Sahibzada 6. Editing and quality insurer.
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Copyright (c) 2024 Muhammad Farooq, Naeem ul haq, Hafiz Shahid, Mumtaz Ali, Muhammad Nawaz, Abdal wasim khan, Abdul Haseeb SahibzadaThe work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
