AI Article Synopsis

  • A study was conducted to investigate whether high-frequency bipolar coagulation during lumbar microdiscectomy helps prevent epidural fibrosis, a common complication after surgery.
  • 1004 participants were split into two groups: one received the coagulation treatment while the other did not.
  • Results showed lower rates of epidural fibrosis (6.2%) in the coagulation group compared to the control group (10.6%), suggesting that this technique may help reduce complications and the need for reoperation.

Article Abstract

Background And Aim: We propose a vast study to examine the effect of high-frequency bipolar coagulation used in the operating room to prevent the development of epidural fibrosis after lumbar microdiscectomy.

Materials And Methods: A total of 1004 participants were divided into two groups: no high-frequency bipolar coagulation (NC group) and high-frequency bipolar coagulation (C group). Postoperative epidural fibrosis, infection rates, reoperation status, and dural injury complications during the operation were recorded.

Results: Considering the epidural fibrosis rates of the two groups, epidural fibrosis was seen in 10.6% of the patients in the NC group. In contrast, it was seen in only 6.2% of the patients in the C group.

Conclusion: The complication of epidural fibrosis that develops after lumbar microsurgery operations both impairs patient comfort and brings with it the complications of reoperation. After performing hemostasis with bipolar, coagulating the annulus may effectively reduce epidural fibrosis and prevent reoperation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495867PMC
http://dx.doi.org/10.7759/cureus.45077DOI Listing

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