In recent years, due to changes in lifestyle, the incidence of lumbar disc herniation began to gradually increase and show a younger trend, many people choose surgery when conservative treatment is ineffective, now talk about the risks of surgery. In order to make my friends (patients) understand, I use as much plain language as possible to explain, please understand where it is not appropriate. Any surgery has risks, it is the same as riding in a car, a car accident is inevitable, but only a small number of people encounter it. The risk of surgery is much lower compared to China’s high-speed train crash, high-speed train can be replaced with a new one, people can not be replaced, this is the difference between the risk of surgery and car accidents, lumbar disc herniation surgery treatment and other surgeries also have the same risk. A, anesthesia accident all surgery must be anesthesia, anesthesia accident is frankly anesthesia suddenly occurred when the heartbeat, respiratory arrest and death. The mechanism of anesthesia accident is not very clear, the incidence rate is very low, about one in a thousand or less, general hospitals for a few years or decades, a case, but the occurrence, the possibility of successful rescue is unlikely, in order to this one in a thousand successful rescue, each operating room in large public hospitals are equipped with a variety of advanced equipment, so that the application of the accident, there may be some equipment from the purchase to the final scrap once did not But must be equipped, because people are not machines, broken can not be replaced. This is one of the reasons why public hospitals invest heavily, and it is common to invest millions and millions in an operating room equipment. If you are unfortunate enough to know someone who has encountered this one in ten thousand also hope to give understanding. Do not think that one in a thousand or one in ten thousand you will not happen to, but if it happens to you is 100 percent. Second, wound infection Any surgery has the possibility of infection, medical sterile surgery (surgery where bacteria are not possible, such as thyroid surgery, intervertebral disc surgery) has an infection rate of less than one percent, lumbar disc herniation surgery infection mainly causes intervertebral space infection (i.e. infection of the disc where the surgery was performed), the results of which are very serious, 1. more difficult to treat because the blood supply to the disc is very low, 2. patients have severe pain, which is an unbearable pain and therefore very painful. Third, bleeding Lumbar intervertebral disc herniation surgery bleeding occurs shock, death is very rare, the reason is one is that the patient has a tendency to bleed, such as with thrombocytopenia and other hematologic diseases; the second is the operator improper operation damage to large blood vessels, the latter is mainly related to the unskilled operation of intervertebral disc surgery. The most common cause of nerve injury of lumbar disc herniation is anatomical variation of the patient, or due to a long history of disease, serious adhesions, nerve injury during the surgical separation of the surgeon, now due to the clinical application of CT, magnetic resonance, nerve injury is very rare. V. Recurrence Post-operative recurrence of lumbar disc herniation is the most common complication of lumbar disc herniation, some people often ask, how can a disc removal still recur, which is what I talked about in an earlier article, the best surgical solution for lumbar disc herniation is to replace it with a new one, the current technology is able to manufacture aircraft, but it cannot manufacture this small intervertebral disc, which is also a big regret of technology. Therefore the disc is bad (i.e. herniated) can only be repaired, can not be completely removed, the general surgery is which bad cut which, so that the other place may be bad again, again herniated. A recurrence is a recurrence at the original site, and another is a protrusion where there was no protrusion before. The latter protrusion is not really a recurrence, but to the patient, it is a protrusion again after surgery (recurrence). In order to prevent recurrence, the entire disc is removed and an artificial disc is implanted. However, in order to prevent problems with the artificial disc (which usually lasts for 3-5 years), it is fixed with steel nails. The lumbar disc is most likely to protrude from the lumbar 45 (the disc between the lumbar 4 vertebrae and the lumbar 5 vertebrae, the same below), the lumbar 5 sacral 1 and lumbar 34 are the second most likely to protrude, after removing the lumbar 45, the lumbar 5 sacral 1 and lumbar 34 may still protrude, some people remove all 3 discs so that they will never protrude again. But your waist has also become a steel plate since then, think about what you can do later. It is also a question of how many years the nails can last due to metal fatigue. A recurrence of lumbar disc herniation after surgery is very unfortunate for you, and the results of another surgery are extremely poor and the risks are significantly higher than those of the initial surgery. Sixth, the symptoms aggravated or not alleviated A part of the lumbar disc herniation after surgery not only did not reduce the symptoms but also more aggravated than before surgery, the reason is very complex, this situation, not to mention yourself, the doctor himself sometimes helpless, in the current relationship between doctors and patients, any explanation you will not be satisfied. Seven, the surgery distant degenerative lesions of the lumbar spine lumbar disc herniation due to the current irreplaceable artificial disc, in general surgery to remove only the protruding part of the disc, so that the impact on the lumbar spine later is minimal. However, after all the discs are removed and artificial discs are implanted, and then fixed with steel nails, this may have a greater impact on the lumbar spine in the long term, which is the same as a car, a small part or a small problem is not repaired, the car can run, but may not run for a long time, and may eventually lead to very serious problems, and may even need a new car, the same as the lumbar spine less a disc, on a few screws temporarily will not affect the function of your lumbar spine. Function, may be very useful to you in the near future, but 10 years, 20 years or even longer is not easy to say. Eight, cerebrovascular accident may be said that cerebrovascular accident and lumbar disc herniation have any relationship, it can be said that there is no relationship, but sometimes the relationship is close, especially in older patients (65 years old and above) not only in lumbar disc herniation surgery, sometimes a small surgery can also occur cerebrovascular accident. In fact cerebrovascular accidents can happen at any time, and some people have cerebrovascular accidents even when they are resting at home, when they have to admit their own luck. Some people may already have small lacunar infarcts or bleeding in the brain (also a cerebrovascular accident), but because they are very small, they are not detected before surgery, and after surgery, they can only be the hospital’s problem. If it happens intraoperatively and seriously leads to death, in the current situation of this doctor-patient relationship, this hospital and this doctor will have to fall on their luck. Nine, …… ten, …… many risks I will not say one by one, only hope that you have a full understanding of the risks of surgery. It may be said that many risks are caused by the doctor, which I will not comment on. But I can tell you that an orthopedic surgeon can alone carry out the surgical treatment of lumbar disc herniation, at least 5-10 years after graduating from university, at this time this doctor is already a qualified orthopedic surgeon, every doctor wants to cure each of his patients, do a good job in each surgery, especially the surgeon, a surgery for various reasons do not say open bad, or surgery is not good, this doctor in a long For a period of time, there is a lot of pressure on the mind. Since we now have no selection of medical students, anyone can study medicine (can not be selected from the best university graduates like abroad), so I can not guarantee that there may be some incompetent doctors among the existing doctors, but since you choose your surgeon must be trusted, otherwise do not choose surgical treatment.