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The impact of trans-sacral epiduroscopic laser decompression on quality of life in lumbar disc herniation.
Agri
January 2024
Department of Pain Management, Acıbadem Hospital, İstanbul, Türkiye.
Objectives: Trans-sacral epiduroscopic laser decompression (SELD), employing a video-guided catheter and laser, is one of the preferred options for minimally invasive treatment in lumbar disc disease. The aim of this study was to evaluate the effect of SELD treatment on pain, disability, and quality of life in patients with lumbar disc herniation.
Methods: Between January 2015 and June 2017, a total of 76 patients who underwent SELD were examined retrospectively.
Is trans-sacral endoscopic laser decompression truly effective? Clinical and functional assessment of a single spine center.
Surg Neurol Int
September 2024
Department of Spine Surgery, Yonsei OK Hospital, Uijeongbu-si, South Korea.
Article Synopsis
- Herniated nucleus pulposus (HNP) leads to chronic back pain and can affect daily activities; trans-sacral epiduroscopic laser decompression (SELD) is gaining traction as a treatment option.
- A study involving 411 patients showed significant improvements in pain levels and disability scores after undergoing SELD, with follow-up revealing a notable reduction in discomfort.
- Overall, SELD is considered a safe and effective procedure for treating lumbar disc herniation, offering effective pain relief and minimal damage to surrounding tissues.
Trans sacral Endoscopic laser Decompression- a case report, technical note and literature review.
J Orthop Case Rep
October 2023
Yonsei Okay Hospital, Uijeongbu, South Korea.
Introduction: The concept of sacral epiduroscopic laser decompression (SELD) is based on the introduction of a steerable catheter in the sacral hiatus followed by the insertion of a fiberoptic laser system into the ventral side of the epidural disc space with an epiduroscope. This procedure enables the direct decompression of the ruptured annulus as the laser vaporizes the bulging disc in the herniated part, cauterization of the sinuvertebral nerve, adhesiolysis of structures nearby the nerve root, and irrigation of inflammation with saline and steroids.
Case Report: A 44-year-old man presented to the outpatient department with a 12-month history of low back pain.
Trans-Sacral Epiduroscopic Ho:YAG Laser Ablation of the Ligamentum Flavum in a Live Pig.
Spine Surg Relat Res
October 2021
Department of Orthopaedic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Introduction: For the aging population, surgery for lumbar spinal canal stenosis (LSCS) requires minimally invasive procedures. Recently, trans-sacral epiduroscopic laser decompression for lumbar disc herniation has been reported with good results. In this study, we devised a new method to perform trans-sacral epiduroscopic laser ablation of the ligamentum flavum (LF), known to be the major cause of LSCS.
View Article and Find Full Text PDFEvaluation of Increased Intracranial Pressure with the Optic Nerve Sheath Diameter by Ultrasound in Epiduroscopic Neural Laser Discectomy Procedures.
Pain Physician
August 2021
Sakarya University Training and Research Hospital, Algology, Sakarya, Turkey.
Background: In order to clarify the camera image and open the adhesions mechanically during epiduroscopy, saline is injected continuously in the epidural area. As a result, an increase in intracranial pressure is to be expected in theory. Increased intracranial pressure can be evaluated by measuring by optic nerve sheath diameter.
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