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Anesthesia methods for full-endoscopic lumbar discectomy: a review

Full-endoscopic lumbar discectomy under local anesthesia is major trends for the treatment of lumbar disc herniation in spine minimally invasive surgery. However, sometimes local anesthesia is not enough for analgesic in surgery especially in interlaminar approach. This study summarizes the current...

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Autores principales: Zheng, Bin, Guo, Chen, Xu, Shuai, Li, Haoyuan, Wu, Yonghao, Liu, Haiying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10469954/
https://www.ncbi.nlm.nih.gov/pubmed/37663652
http://dx.doi.org/10.3389/fmed.2023.1193311
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author Zheng, Bin
Guo, Chen
Xu, Shuai
Li, Haoyuan
Wu, Yonghao
Liu, Haiying
author_facet Zheng, Bin
Guo, Chen
Xu, Shuai
Li, Haoyuan
Wu, Yonghao
Liu, Haiying
author_sort Zheng, Bin
collection PubMed
description Full-endoscopic lumbar discectomy under local anesthesia is major trends for the treatment of lumbar disc herniation in spine minimally invasive surgery. However, sometimes local anesthesia is not enough for analgesic in surgery especially in interlaminar approach. This study summarizes the current study of anesthesia methods in full-endoscopic lumbar discectomy. Local anesthesia is still the most common anesthesia method in full-endoscopic lumbar discectomy and the comparison group for other anesthesia methods due to high safety. Compared to local anesthesia, Epidural anesthesia is less applied in full-endoscopic lumbar discectomy but reports better intraoperative pain control and equivalent safety due to the motor preservation and pain block characteristic of ropivacaine. General anesthesia can achieve totally pain block during surgery but nerve injury can not be ignored, and intraoperative neuromonitoring can assist. Regional anesthesia application is rare but also reports better anesthesia effects during surgery and equivalent safety. Anesthesia methods for full-endoscopic lumbar discectomy should be based on patient factors, surgical factors, and anesthesiologist factors to achieve satisfactory anesthesia experience and successful surgery.
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spelling pubmed-104699542023-09-01 Anesthesia methods for full-endoscopic lumbar discectomy: a review Zheng, Bin Guo, Chen Xu, Shuai Li, Haoyuan Wu, Yonghao Liu, Haiying Front Med (Lausanne) Medicine Full-endoscopic lumbar discectomy under local anesthesia is major trends for the treatment of lumbar disc herniation in spine minimally invasive surgery. However, sometimes local anesthesia is not enough for analgesic in surgery especially in interlaminar approach. This study summarizes the current study of anesthesia methods in full-endoscopic lumbar discectomy. Local anesthesia is still the most common anesthesia method in full-endoscopic lumbar discectomy and the comparison group for other anesthesia methods due to high safety. Compared to local anesthesia, Epidural anesthesia is less applied in full-endoscopic lumbar discectomy but reports better intraoperative pain control and equivalent safety due to the motor preservation and pain block characteristic of ropivacaine. General anesthesia can achieve totally pain block during surgery but nerve injury can not be ignored, and intraoperative neuromonitoring can assist. Regional anesthesia application is rare but also reports better anesthesia effects during surgery and equivalent safety. Anesthesia methods for full-endoscopic lumbar discectomy should be based on patient factors, surgical factors, and anesthesiologist factors to achieve satisfactory anesthesia experience and successful surgery. Frontiers Media S.A. 2023-08-17 /pmc/articles/PMC10469954/ /pubmed/37663652 http://dx.doi.org/10.3389/fmed.2023.1193311 Text en Copyright © 2023 Zheng, Guo, Xu, Li, Wu and Liu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Zheng, Bin
Guo, Chen
Xu, Shuai
Li, Haoyuan
Wu, Yonghao
Liu, Haiying
Anesthesia methods for full-endoscopic lumbar discectomy: a review
title Anesthesia methods for full-endoscopic lumbar discectomy: a review
title_full Anesthesia methods for full-endoscopic lumbar discectomy: a review
title_fullStr Anesthesia methods for full-endoscopic lumbar discectomy: a review
title_full_unstemmed Anesthesia methods for full-endoscopic lumbar discectomy: a review
title_short Anesthesia methods for full-endoscopic lumbar discectomy: a review
title_sort anesthesia methods for full-endoscopic lumbar discectomy: a review
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10469954/
https://www.ncbi.nlm.nih.gov/pubmed/37663652
http://dx.doi.org/10.3389/fmed.2023.1193311
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