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S1 Transforaminal Epidural Anesthesia in Percutaneous Transforaminal Endoscopic Discectomy: A Case-Series Study

BACKGROUND: Percutaneous transforaminal endoscopic discectomy (PTED) has become popular over the years due to its safety and low invasiveness. This surgery can be performed with different anesthesia techniques; however, the extent to which the surgeon and patient are satisfied with the analgesia is...

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Autores principales: Hashemi, Seyed Masoud, Rajaei, Shima, Falsafi, Mani, Golmakani, Ebrahim, Behnaz, Faranak, Zali, Alireza, Asgari, Sogol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Brieflands 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676656/
https://www.ncbi.nlm.nih.gov/pubmed/38023997
http://dx.doi.org/10.5812/aapm-131746
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author Hashemi, Seyed Masoud
Rajaei, Shima
Falsafi, Mani
Golmakani, Ebrahim
Behnaz, Faranak
Zali, Alireza
Asgari, Sogol
author_facet Hashemi, Seyed Masoud
Rajaei, Shima
Falsafi, Mani
Golmakani, Ebrahim
Behnaz, Faranak
Zali, Alireza
Asgari, Sogol
author_sort Hashemi, Seyed Masoud
collection PubMed
description BACKGROUND: Percutaneous transforaminal endoscopic discectomy (PTED) has become popular over the years due to its safety and low invasiveness. This surgery can be performed with different anesthesia techniques; however, the extent to which the surgeon and patient are satisfied with the analgesia is debatable. OBJECTIVES: This study investigated the efficiency of the S1 transforaminal epidural block. METHODS: This retrospective study was conducted on 60 patients with L4 - L5 lumbar disc herniation who underwent PTED under the S1 transforaminal epidural block. All patients had clinical symptoms associated with unilateral radiculopathy and were candidates for surgery. Percutaneous transforaminal endoscopy and S1 epidural block were performed by a surgeon for all patients. RESULTS: Of the 60 evaluated cases, 61.7% and 38.3% were female and male, respectively, with a mean age of 42.98 ± 10.79 years. The mean pain score before surgery was 7.83 ± 0.69, which decreased to 2.58 ± 0.65 during surgery and 0.50 ± 0.50 48 hours after surgery (P < 0.001). The mean duration of operation in these patients was 58.58 ± 16.95 minutes, and the mean onset time was 10.08 ± 3.12 minutes. Moreover, the mean bleeding was 124.17 ± 25.20 cc. CONCLUSIONS: The PTED with S1 epidural anesthesia is a simple, safe, and effective method that causes good analgesia during the operation and cooperates well with the surgeon in neurological monitoring due to patient consciousness.
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spelling pubmed-106766562023-07-15 S1 Transforaminal Epidural Anesthesia in Percutaneous Transforaminal Endoscopic Discectomy: A Case-Series Study Hashemi, Seyed Masoud Rajaei, Shima Falsafi, Mani Golmakani, Ebrahim Behnaz, Faranak Zali, Alireza Asgari, Sogol Anesth Pain Med Research Article BACKGROUND: Percutaneous transforaminal endoscopic discectomy (PTED) has become popular over the years due to its safety and low invasiveness. This surgery can be performed with different anesthesia techniques; however, the extent to which the surgeon and patient are satisfied with the analgesia is debatable. OBJECTIVES: This study investigated the efficiency of the S1 transforaminal epidural block. METHODS: This retrospective study was conducted on 60 patients with L4 - L5 lumbar disc herniation who underwent PTED under the S1 transforaminal epidural block. All patients had clinical symptoms associated with unilateral radiculopathy and were candidates for surgery. Percutaneous transforaminal endoscopy and S1 epidural block were performed by a surgeon for all patients. RESULTS: Of the 60 evaluated cases, 61.7% and 38.3% were female and male, respectively, with a mean age of 42.98 ± 10.79 years. The mean pain score before surgery was 7.83 ± 0.69, which decreased to 2.58 ± 0.65 during surgery and 0.50 ± 0.50 48 hours after surgery (P < 0.001). The mean duration of operation in these patients was 58.58 ± 16.95 minutes, and the mean onset time was 10.08 ± 3.12 minutes. Moreover, the mean bleeding was 124.17 ± 25.20 cc. CONCLUSIONS: The PTED with S1 epidural anesthesia is a simple, safe, and effective method that causes good analgesia during the operation and cooperates well with the surgeon in neurological monitoring due to patient consciousness. Brieflands 2023-07-15 /pmc/articles/PMC10676656/ /pubmed/38023997 http://dx.doi.org/10.5812/aapm-131746 Text en Copyright © 2023, Hashemi et al. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Research Article
Hashemi, Seyed Masoud
Rajaei, Shima
Falsafi, Mani
Golmakani, Ebrahim
Behnaz, Faranak
Zali, Alireza
Asgari, Sogol
S1 Transforaminal Epidural Anesthesia in Percutaneous Transforaminal Endoscopic Discectomy: A Case-Series Study
title S1 Transforaminal Epidural Anesthesia in Percutaneous Transforaminal Endoscopic Discectomy: A Case-Series Study
title_full S1 Transforaminal Epidural Anesthesia in Percutaneous Transforaminal Endoscopic Discectomy: A Case-Series Study
title_fullStr S1 Transforaminal Epidural Anesthesia in Percutaneous Transforaminal Endoscopic Discectomy: A Case-Series Study
title_full_unstemmed S1 Transforaminal Epidural Anesthesia in Percutaneous Transforaminal Endoscopic Discectomy: A Case-Series Study
title_short S1 Transforaminal Epidural Anesthesia in Percutaneous Transforaminal Endoscopic Discectomy: A Case-Series Study
title_sort s1 transforaminal epidural anesthesia in percutaneous transforaminal endoscopic discectomy: a case-series study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676656/
https://www.ncbi.nlm.nih.gov/pubmed/38023997
http://dx.doi.org/10.5812/aapm-131746
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