Laser disk surgery or laser-assisted microdiscectomy

Microsopic laser disc surgery is the surgical technique that is a minimal invasive spinal surgery to preserve as much normal tissue as possible.

Procedure Detail

After a 1.5 to 2 cm incision, the surgeon removes the partial vertebral body with a high-speed diamond drill and can observe the 10 to 15 times magnified image under the endoscopic view. The surgeon then removes the herniated disc fragments with forceps and vaporizes the herniated disc, the spious process compresses the nerve, and thich ligaments with a laser adter decompressing the inter pressure of the disc, the surgeon also removes the disc fragments. In addition, with flexible Holmium-YAG laser and radiofrequency, the surgeon can cure the back pain, shrinking the posterior annulus fibrosus.

Indications

Severe lumbar disc herniation that has showed no improvement by conservative therapy or even the percutaneous endoscopic treatment.
Abnormal spinous process, joint problems and complicated disc disease with spinal stenosis.
Those patients with intractable and recurrent disc disease.

Advantages

It takes a long time for surgeons to perform conservative open surgery that removes the bulk of the vertebral body. However, open laser-assisted microdiscectomy takes approximately 1 to 2 hours at most so that it is reasonable to apply to the old and weak who cannot stand general anesthesia or open surgery.

The conservative open surgery is performed under the naked eye so that it requires a huge incision. While there is less bleeding and a smaller incision with open laser-assisted microdiscectomy.

In case there is damage to the muscle or the bones, the early spinal stenosis surgery requires screw fixation because of instability, on the other hand, the open laser-assited microdiscectomy is performed with a microscope and a fine laser so that it minimizes the normal tissue damage. Therefore, the bone fusion is not necessary.

The success rates of the microscopic laser disc surgery is 95% and most patients (75%) stay at the hospital for 24 hours to 72 hours and at most 1 week.

Cost of treatment

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