COMPARATIVE EVALUATION OF ENDOSCOPIC DISCECTOMY AND LUMBAR LAMINECTOMY IN LUMBAR DISC DISEASES

Lumbar disc disease accounts for a large amount of lost productivity in the workforce. Accurate diagnosis can be difficult and often requires interpretation. Treatment is controversial. Treatment failures are not uncommon, are often related to posttraumatic or work-related injuries, and may result in litigation. The present study was planned in Department of Neurosurgery, SKMCH, Muzaffarpur, Bihar, India.  In the present study 50 Patients Suffered from Lumbar disc diseases were enrolled and divided based different surgery procedure. In the present study 25 cases of the patients undergoing Endoscopic Discectomy and 25 cases of patients undergoing Lumbar Laminectomy surgery were enrolled. The experience gained from the patients operated upon for lumbar disc herniation by endoscopic technique and conventional laminectomy with discectomy in the present study was presented herewith. All patients had virgin lumbar radiculopathy with positive clinical findings and MRI evidence of herniation.  The endoscopic approach meant a shorter operating time, less bleeding during surgery, immediate mobilization of patients and shorter post-operative stay in the hospital and return to work in 7 days which is less than half the usual time in laminectomy with discectomy. In endoscopic technique fewer incidence of wound infections, Catheterization in endoscopic while urinary infection along with catheterization was very low. No patients developed pulmonary embolism, deep vein thrombosis, and increase in neurological deficit or nerve root injury. Thus endoscopic approach to discectomy for herniated lumbar disc remains the procedure of choice for majority of patients requiring surgery and it continues to be the Gold standard against which all procedures must be measured. Keywords: Endoscopic Discectomy, Lumbar Laminectomy, Lumbar disc diseases, etc.