Microscopic discectomy is the one of the safest and time-tested surgical treatment for a herniated disc. It helps to relieve the pressure on a spinal nerve root by removing the herniated portion of the disc that causes pain.
Surgery is performed under general anesthesia. One small incision of 2-3 cm is made over the affected area of the spine. Muscle dissected near the affected area and retractors are placed which hold the muscle and skin away from the surgical site so that the vertebrae are adequately exposed.
Under the microscope, the culprit disc portion is identified and confirmed using intra-operative radiology. The disc is then removed in a piecemeal fashion very carefully while ensuring the nerve is relieved of all unwanted pressure. The incision is then closed with sutures. The surgery takes about 30 to 45 minutes, the patient goes home on the same day.
You are admitted to the hospital. The procedure is explained to the patient/ relative in detail and consent is undertaken. Pre-anaesthesia checkup (PAC) is done. Once cleared, the patient is shifted to OT for the procedure. Post-procedure, the patient is moved to the recovery area and once stable, the patient is moved to the respective room. There may be a bit of pain for which you will be given analgesics.
You will be observed in the room. Discharge process is undertaken. You / relative is explained about the discharge medication and follow up. The patient is discharged.
You may be advised to see the surgeon after a week for stitch removal. Follow up is also important to see if healing is proper. Initially, there may be some soreness and pain depending on the type of surgery which is performed. There may be bruising around the area which is not abnormal.