Endoscopic discectomy by destandeau technique: an initial experience

Ravi Shankar Prasad

Background: Endoscopic lumbar discectomy has now become a standard modality of treatment for lumbar disc prolapse with several advantages in comparision to open discectomy. This article retrospectively reviews the experience of 20 cases performed by Destandeau system for technical problems, complications and overall results.
Material and method: Total of 20 consecutive cases aged 25-55 years operated by the MED procedure (Destandeau system) for L4-5 or L5-S1 PIVD from March 2013 to October 2017 were retrospectively evaluated for the result. All the cases were operated on by a single surgeon.
Result: Surgery was successfully completed in all the patients. None of the patient had any root injury or dural injury. Two of them required conversion to open surgery for residual disc causing radicular pain. None of other patients had any clinical problem in the postoperative period. All the patients were discharged after 24-48 h of surgery. A total of 15 patients had an excellent outcome, 3 patients had good outcome, two had poor outcome. Overall, 90% of patients had excellent-to-good results.
Conclusion: Microendoscopic discectomy is a minimally invasive procedure for discectomy with lesser hospital stay and lesser need of analgesics early encouraging results and early return to work.

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DOI: http://dx.doi.org/10.24327/ijcar.2017.8587.1390