Minimally invasive treatment of lumbar disc herniation

The concept of minimally invasive spine has been around for 50 years, and the first case of papain “dissolution” for lumbar disc herniation was reported in the United States in 1963, marking the beginning of minimally invasive spine surgery. Due to the high incidence of nerve damage, the FDA ordered the cessation of production and use of this drug in 1999. It marked the failure of this treatment modality, but opened a new chapter in the era of minimally invasive spine. The subsequent development of radiofrequency ablation and the ozone disc ablation procedures performed in some hospitals in China in recent years are “indirect decompression” treatments for cases with small disc herniations, no rupture of the outer annulus fibrosus, and no spinal stenosis. In other words, this type of treatment is only suitable for patients with early, mild disc herniation. With the continuous development of high-tech medical technology, the minimally invasive technology of “access, light source, direct vision, and visibility” has been rapidly developed, and more and more patients with lumbar disc herniation requiring surgical treatment have been effectively solved by such “minimally invasive” methods. This is especially relevant for the adolescent and elderly population. Minimally invasive surgical treatment of lumbar disc herniation is the use of television microscopic discoscopy and intervertebral foraminoscopy equipment to enter the lesion (herniation) through a small tube (working channel), remove the herniated disc “under direct vision” with the help of television microscopic endoscope and tiny instrumentation tools, and release the compression of the lesion on the nerve to achieve the purpose of treating The purpose of this procedure is to treat low back pain. This procedure not only has good therapeutic effect, but also protects the paraspinal muscles and soft tissues from surgical impact and injury to the greatest extent, and protects the structural integrity and stability of the bony tissues of the spine. Less bleeding: small surgical incision, small trauma, no stripping of internal tissues, electromagnetic coagulation devices, almost no bleeding during the operation; 4, less complications: due to the small surgical injury, less bleeding, making the negative reaction to surgery significantly reduced; 5, fast recovery: the surgery on the normal tissue structure impact and damage is small, 3-4 hours after surgery can be off the ground, 2-3 days can be discharged. It greatly reduces the damage to the organs and the interference with the function of the organs, which shortens the recovery time after surgery; 6. Minimally invasive spine treatment technology is a specific application of high technology in the field of medicine, is a new technology and new advances in spine surgery treatment, is the development of modern spine surgery mark and the development of medical science and technology achievements.