Abstract: Study Design: Prospective study.
Aims and objectives: To study the efficacy, advantages, and associated complications of Endoscopic Destandau method in comparison with standard open discectomies in lumbar disc herniations at a semi urban setup.
Materials and methods: A total of 42 patients were enrolled in the study. All the details pertaining to the history, clinical examination, surgical procedure and postoperative recovery were noted. 19 patients underwent discectomy by Endoscopic discectomy by Destandau method (EDM) and 23 patients underwent standard open discectomy (SOD). Patients were followed up for a minimum of 12 months prospectively. Visual analogue score (VAS) was noted preoperatively, immediate postop (48hrs post-surgery) and at follow up. Outcome is measured at 12 months follow up.
Results: 47.6% patients were in the age group of 31-40 years, most common site to be involved in disc prolapse was L4-L5 in 54.75%. The mean operative time was 82 min and the mean hospital stay was 2.8 days in EDM group compared to 126 mins and 8.5 days of SOD group. Average blood loss is 30 ml in EDM group and 180 ml in SOD group. The outcome was excellent good fair and poor in 47.82%, 43.47%, 4.3% and 4.3% respectively in SOD group compared to 68.4%, 21%, 5.3% and 5.3% in EDM group.
Conclusions: EDM is novel, safe and effective technique that minimizes invasiveness of surgical approach for lumbar discectomy. The technique also offers decreased blood loss, shorter operative time, shorter in-hospital stay, less immediate postoperative pain, better cosmoses and early recovery to work.
