A. Hakobyan, MD PhD

Yerevan 2014

Full text in journal “Theoretical and clinical medical questions”

From 2009-2013 in our department lumbar disc surgery-microdiscectomy was performed in 167 cases and percutaneous endoscopic discectomy was performed in 138 cases. In all cases the diagnosis of lumbar disc prolapse or lumbar disc hernia was proved by MRI investigation. The aim of our work was to compare the results of open surgery-microdiscectomy and the results of  percutaneous endoscopic disc surgery. So after the surgery we compared the results in both groups.

During this comparison we found out, that endoscopic discectomy lets us minimize the duration of hospitalization up to one day. The good results were 13% more in patients group whom endoscopic discectomy was performed. At the same time the percent of complication in this group was lower over 2.5 times, than in the group of the patients whom microdiscectomy was performed.

So, we approved that the method of percutaneous transforaminal hernia extraction, which is called endoscopic discectomy or endoscopic disc surgery, can be performed in any cases of intervertebral hernia including sequestered disc.

This method allows minimizing duration of hospitalization up to one day, which is impossible short time for patients, who were treated by open surgery. So short hospitalization and short recovery time is very important factors, when we speak about patients who are militaries.