Surgical Procedure Summary

Key Information

• Condition: Disc Herniation
• Patient: Child of a colleague
• Goal: Utilize minimally invasive surgery to ensure good recovery

Surgical Technique

• Procedure Used: LES (Laser Endoscopic Spine Surgery)
• Approach:
  • Create small incisions ("poke holes")
  • Navigate past the dural tube
  • Remove disc herniation
  • Ensure nerves are free
• Disc Levels Treated: L5-S1
• Tools and Techniques:
  • LES (Laser Endoscopic System)
  • Use of blue dye for visibility
  • Articulating curettes ("Salt and Pepper" and "Paprika")
  • Side-firing laser for precision
  • Drill to mark bony landmarks

Observations and Remarks

• Disc Condition: Significant protrusion with sequestered section
• Challenges:
  • Ensuring nerve protection
  • Navigating around scar tissue and inflammation
• Impressions:
  • The LES technique offers precision and safety
  • Blue dye aids in distinguishing structures
  • Successful removal of herniated disc fragments
• Outcome:
  • Successful surgery with immediate decompression
  • Anticipated good recovery

Closing Thoughts

• Expectations: Positive surgical outcome and fast recovery
• Personal Note: Due diligence required due to personal ties with the patient's family
• Final Observation: Gratification from successful, minimally invasive surgery

Post-Surgery

• Monitoring expected to ensure positive recovery
• Encouragement for patient's resumption of normal activities