For many patients with lumbar disc herniation, through regular conservative treatment can be relieved, but there is also a part of the protruding disc is heavier, such as the outer ring of the intervertebral disc tear caused by the nucleus pulposus prolapsed, a lot of serious protrusion of the patient basically belongs to this type, and accompanied by the posterior longitudinal ligament ossification of the patient through the effect of conservative treatment may also be poor, this time is often the need for surgical treatment, in the past people are very afraid of talking about surgery, psychologically think that the need for surgery is a “big disease”. In the past, people were afraid of surgery, and psychologically thought that those who needed surgery were “big diseases”. Therefore, many people would rather endure the pain but also continue to seek the so-called miracle cure, until finally there is no way out, and gradually accept the idea that they are suffering from a “serious illness”. However, with the advancement of medicine, lumbar disc surgery has become more and more minimally invasive, and patients suffering from lumbar disc herniation no longer need to worry about having to undergo a major surgery. Now, many hospitals are constantly publicizing lumbar intervertebral disc surgery, and hospitals at all levels are constantly carrying out this technology, what is this technology? Is it really that good? All lumbar disc herniation are suitable for doing? Here I will tear open her veil, let the public see her true colors. 1, lumbar intervertebral lens is what? First of all, please look at the following picture: is not very simple? Indeed, the instrument is very simple, but the use of it is very much in need of technology, the operation of the doctor is required to undergo rigorous training, at present, the general hospital will have a specialized doctor to do lumbar intervertebral laminectomy, not every doctor can do. 2, lumbar laminectomy is how to use? Or please look at the following figure: preoperative through the imaging film for rigorous measurement and assessment, and then choose a good point of entry, just in the skin to cut a 5mm or so, and then the intervertebral foramen under fluoroscopy into the position of the intervertebral foramen, intervertebral foramen is often the location of the intervertebral disc compression of the nerve root, in addition, the intervertebral foramen is also the natural entry point to enter the intervertebral disc (as shown in the figure below), do not need to destroy the vertebral crest, and the lumbar foramenoscopy is used in a variety of ways. The head end of the instrument has a lens and a light source, so this is an operation under completely direct vision, with little risk of nerve damage. What are the benefits of lumbar laminectomy? First of all, the trauma is very small, only need local anesthesia, and the incision is often only a few millimeters, and some even can not be sutured, at most one stitch. Of course, the trauma is small, the postoperative recovery will be fast, hospitalization in two or three days can be, and the above mentioned can be operated under direct vision, the risk of damage to the nerve is smaller. Finally, there is another advantage is that the surgery on the structure of the crural spine without significant damage, if the minimally invasive surgery results are not good, for the future to do open surgery has little impact. 4. Are there any bad aspects? Things are rarely perfect, both to minimally invasive surgery, but also to excellent surgical results, on the current medical technology is still a bit of a contradiction, not more than the vast majority of patients are very satisfied with the recovery, but after all, the equipment is not over, the technology is the key to the effect of surgery and the operator’s skills are related, so there will always be done after the results are not satisfied. So it is still recommended to the regular hospital treatment is better. 5.What kind of patients are very suitable for intervertebral laminectomy? Intervertebral foramenoscopy has the provision of indications, so not every herniated disc can do intervertebral foramenoscopy or other minimally invasive surgery. The absolute indications for intervertebral foramenoscopy are: unilateral lower extremity pain or numbness, imaging results confirming a herniated disc on the corresponding side, and first of all, after formal conservative treatment is ineffective, patients can consider intervertebral foramenoscopy, which is more common, and the results of the surgery are also very satisfactory. Of course, the suitability of intervertebral foramenoscopy surgery is not similar to the patient to the restaurant ordering, is required to undergo a rigorous assessment, the general operating experience of the doctor’s indications will be larger, the results of the operation will be better. The picture above shows the removed disc tissue, the color of which was dyed with a special reagent for intraoperative identification. In summary, medical advances have also brought great benefits to patients with lumbar disc herniation, and there are some patients who would rather have direct minimally invasive treatment than slow and conservative treatment to endure the pain. In any case, medical advances have brought about a diversity of treatment options, and the final treatment plan is generally based on the patient’s requirements and condition. Warm reminder: taking into account each patient’s own physical condition is different, for the purpose of the patient’s responsibility, the treatment mentioned in the article is for reference only, the specific method to be taken please go to the hospital to listen to the expert’s advice, and remember not to choose their own treatment!