Open AccessFull endoscopic interlaminar discectomy (FEID) for recurrent lumbar disc herniation: surgical technique, clinical outcome, and prognostic factors
Author(s) -
Keng-Chang Liu,
Min-Hong Hsieh,
ChangChen Yang,
WeiLun Chang,
Yi-Hung Huang
Publication year - 2020
Publication title -
journal of spine surgery
Language(s) - English
Resource type - Journals
eISSN - 2414-469X
pISSN - 2414-4630
DOI - 10.21037/jss-19-370
Subject(s) - lumbar disc herniation , medicine , discectomy , surgery , disc herniation , outcome (game theory) , lumbar , mathematics , mathematical economics
The objective of this study is to determine the effectiveness and prognostic factors of revisional full endoscopic interlaminar discectomy (FEID) for recurrent herniation after conventional open disc surgery. The major concerns of the repeated discectomy for recurrent lumbar disc herniation (RLDH) are the epidural scar and postoperative segmental instability. Compared to open discectomy, endoscopic method has advantages of less tissue traumatization, clearer visualization and better tissue identification. With the improvement of endoscopic technique and instrument, the problems related to adhesive scar tissues or postoperative instability could be overcome.