UNIVERSAL ENDOSCOPIC DISCECTOMY

UNIVERSAL ENDOSCOPIC DISCECTOMY

INTRODUCTION

In 1934, Joseph S. Barr , a professor

from Harvard University, discovered

the herniated discs as the main cause of low back pain and

sciatica.

He designed the technique of open Discectomy surgery

(Laminectomy) for treatment of herniated disc has since been

increasingly utilized.

UNIVERSAL ENDOSCOPIC DISCECTOMY

However, in 1967 Doctor Joseph S. Barr in a critical speech in San Diego has said, “We must find another technique to remove discs material with a fewer iatrogenic complications” (mentioned that we got to find another technique to remove disc material with fewer IATROGENIC complications.” (FAILED BACK SURGERY).

UNIVERSAL ENDOSCOPIC DISCECTOMY

UNIVERSAL ENDOSCOPIC DISCECTOMY

UNIVERSAL ENDOSCOPIC DISCECTOMY

UNIVERSAL ENDOSCOPIC DISCECTOMY

UNIVERSAL ENDOSCOPIC DISCECTOMY

PATIENT’S PAIN DRAWNBEFORE SURGERY

PATIENT’S PAIN DRAWN AFTER SURGERY

UNIVERSAL ENDOSCOPIC DISCECTOMY

Excellent 60%760 cases

Unknown 5%

63 cases

Poor 2%25

cases

Fair 3%38

cases

Good 30% 380 Cases

UNIVERSAL ENDOSCOPIC DISCECTOMY

60 % EXCELLENT - MEANS RETURN TO THE SAME JOB, NO NEED FOR MEDICATIONS.

30 % GOOD - MEANS RETURN TO THE SAME JOB, BUT OCCASIONALLY HAD PAIN AND NEED MEDICATIONS.

Good means return to the same job But occasionally had pain and needsNSAI drugs.

3 % FAIR - MEANS PATIENTS MAY CHANGED JOBS AND NEED FURTHER MEDICATION.

2 % POOR - MEANS PATIENT COULD NOT GO TO THE SAME JOB AND NEEDS FURTHER SURGERY.

5 % UNKNOWN – MEANS – LOST IN A FOLLOW UP OR PATIENT HAVE MOVED SOMEWHERE ELSE OR DECEASED.

SCORE AND RESULTS

UNIVERSAL ENDOSCOPIC DISCECTOMY

UNIVERSAL ENDOSCOPIC DISCECTOMY