Surgical Procedure Overview

Introduction

• Dr. Chol has traveled from San Diego, California.
• The focus is on a minimally invasive surgical procedure to treat an extruded sequestered disc.

Condition Description

• An extruded sequestered disc involves a free fragment floating around, causing severe pain by squashing the nerve root.
• Symptoms include quadriceps weakness, pain, numbness, and tingling down the front of the shin.

Surgical Procedure

• Technique Utilized: Laser Endoscopic Spine Surgery using a minimally invasive approach.
• Procedure Steps:
  • Creation of a small entry point ('poke hole') through the side neural foramen.
  • Removal of disc fragments, ensuring to pluck out free fragments.
  • Use of spaghetti noodle dilator, 22-gauge needle, and laser for precision.

Observations During Surgery

• Significant degeneration observed in the disc.
• The endoscopic view is clear despite being 2D, allowing for detailed examination.
• The use of laser is described as magical for its ability to shrink and remove disc fragments.
• Various loose pieces identified within the disc during the procedure.

Post-Procedure Outcomes

• The nerve root is freed from pressure, greatly reducing pain and allowing for movement.
• The procedure successfully relieved the patient from discarnation burden.
• Anticipated positive outcomes with expectations of a favorable recovery.

Conclusion

• The surgery went smoothly, with thorough decompression of the nerve.
• Dr. Chol expresses hope for the patient's speedy recovery and satisfaction with the procedure results.