Transforaminal Endoscopic Discectomy Under General and Local Anesthesia: A Single-Center Study

Percutaneous spinal endoscopy is used for the treatment of disorders of the lumbar spine, as it has several advantages over traditional surgical methods. The performance of percutaneous spinal endoscopy is not possible without applying anesthesia methods. Two types (local and general) of anesthesia...

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Autores principales: Kerimbayev, Talgat, Kenzhegulov, Yergen, Tuigynov, Zhandos, Aleinikov, Viktor, Urunbayev, Yermek, Makhambetov, Yerbol, Pan, Andrew, Abishev, Nurzhan, Oshayev, Meirzhan, Baiskhanova, Dinara, Solodovnikov, Makar, Akshulakov, Serik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9063724/
https://www.ncbi.nlm.nih.gov/pubmed/35521432
http://dx.doi.org/10.3389/fsurg.2022.873954
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author Kerimbayev, Talgat
Kenzhegulov, Yergen
Tuigynov, Zhandos
Aleinikov, Viktor
Urunbayev, Yermek
Makhambetov, Yerbol
Pan, Andrew
Abishev, Nurzhan
Oshayev, Meirzhan
Baiskhanova, Dinara
Solodovnikov, Makar
Akshulakov, Serik
author_facet Kerimbayev, Talgat
Kenzhegulov, Yergen
Tuigynov, Zhandos
Aleinikov, Viktor
Urunbayev, Yermek
Makhambetov, Yerbol
Pan, Andrew
Abishev, Nurzhan
Oshayev, Meirzhan
Baiskhanova, Dinara
Solodovnikov, Makar
Akshulakov, Serik
author_sort Kerimbayev, Talgat
collection PubMed
description Percutaneous spinal endoscopy is used for the treatment of disorders of the lumbar spine, as it has several advantages over traditional surgical methods. The performance of percutaneous spinal endoscopy is not possible without applying anesthesia methods. Two types (local and general) of anesthesia are used for percutaneous spinal endoscopy. Both, local and general anesthesia approaches contribute to safety in surgical procedures. Although it is believed that the method of local anesthesia has more benefits over general anesthesia, such as lowering the risk of postoperative neurological complications in a patient, the literature on the topic is inconclusive. The study aims to perform a comparative analysis of the two anesthesia methods using a prospective case-control design. Patients were divided into two groups: those who received local anesthesia (LA) (20 patients), and those who underwent general anesthesia (GA) (20 patients). As a result of the study, 40% of the patients experienced moderate pain and 5% of the patients experienced excruciating pain intraoperatively in the LA group. Although Visual Analog Scale and Oswestry Disability Index scores improved more rapidly in LA group, at the 12-month check-up point there was no significant difference between cases and controls. Nevertheless, there were postoperative complications such as nerve root injury in 10% of the patients; nausea, vomiting, dizziness, drowsiness in 15% of the patients in the GA group, and an insignificant or no such complications in patients of the LA group. The present study demonstrates that LA contributes to more positive short-term outcomes for patients as it facilitates nerve root damage prevention, and has no postoperative side effects on patients' well being.
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spelling pubmed-90637242022-05-04 Transforaminal Endoscopic Discectomy Under General and Local Anesthesia: A Single-Center Study Kerimbayev, Talgat Kenzhegulov, Yergen Tuigynov, Zhandos Aleinikov, Viktor Urunbayev, Yermek Makhambetov, Yerbol Pan, Andrew Abishev, Nurzhan Oshayev, Meirzhan Baiskhanova, Dinara Solodovnikov, Makar Akshulakov, Serik Front Surg Surgery Percutaneous spinal endoscopy is used for the treatment of disorders of the lumbar spine, as it has several advantages over traditional surgical methods. The performance of percutaneous spinal endoscopy is not possible without applying anesthesia methods. Two types (local and general) of anesthesia are used for percutaneous spinal endoscopy. Both, local and general anesthesia approaches contribute to safety in surgical procedures. Although it is believed that the method of local anesthesia has more benefits over general anesthesia, such as lowering the risk of postoperative neurological complications in a patient, the literature on the topic is inconclusive. The study aims to perform a comparative analysis of the two anesthesia methods using a prospective case-control design. Patients were divided into two groups: those who received local anesthesia (LA) (20 patients), and those who underwent general anesthesia (GA) (20 patients). As a result of the study, 40% of the patients experienced moderate pain and 5% of the patients experienced excruciating pain intraoperatively in the LA group. Although Visual Analog Scale and Oswestry Disability Index scores improved more rapidly in LA group, at the 12-month check-up point there was no significant difference between cases and controls. Nevertheless, there were postoperative complications such as nerve root injury in 10% of the patients; nausea, vomiting, dizziness, drowsiness in 15% of the patients in the GA group, and an insignificant or no such complications in patients of the LA group. The present study demonstrates that LA contributes to more positive short-term outcomes for patients as it facilitates nerve root damage prevention, and has no postoperative side effects on patients' well being. Frontiers Media S.A. 2022-04-19 /pmc/articles/PMC9063724/ /pubmed/35521432 http://dx.doi.org/10.3389/fsurg.2022.873954 Text en Copyright © 2022 Kerimbayev, Kenzhegulov, Tuigynov, Aleinikov, Urunbayev, Makhambetov, Pan, Abishev, Oshayev, Baiskhanova, Solodovnikov and Akshulakov. 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 Surgery
Kerimbayev, Talgat
Kenzhegulov, Yergen
Tuigynov, Zhandos
Aleinikov, Viktor
Urunbayev, Yermek
Makhambetov, Yerbol
Pan, Andrew
Abishev, Nurzhan
Oshayev, Meirzhan
Baiskhanova, Dinara
Solodovnikov, Makar
Akshulakov, Serik
Transforaminal Endoscopic Discectomy Under General and Local Anesthesia: A Single-Center Study
title Transforaminal Endoscopic Discectomy Under General and Local Anesthesia: A Single-Center Study
title_full Transforaminal Endoscopic Discectomy Under General and Local Anesthesia: A Single-Center Study
title_fullStr Transforaminal Endoscopic Discectomy Under General and Local Anesthesia: A Single-Center Study
title_full_unstemmed Transforaminal Endoscopic Discectomy Under General and Local Anesthesia: A Single-Center Study
title_short Transforaminal Endoscopic Discectomy Under General and Local Anesthesia: A Single-Center Study
title_sort transforaminal endoscopic discectomy under general and local anesthesia: a single-center study
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9063724/
https://www.ncbi.nlm.nih.gov/pubmed/35521432
http://dx.doi.org/10.3389/fsurg.2022.873954
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