Comparison Study of Cost Effectiveness, Complications Hospital Stay in Conventional Versus Micro-Discectomy
Keywords:
Micro-discectomy, Conventional DiscectomyAbstract
Objective: To study of cost effectiveness, complications and hospital stay in conventional V/S micro-Discectomy.
Study Design: Experimental randomized controlled trail.
Placed and Duration of Study: My study held in Neurosurgical department of Lahore General Hospital Lahore , duration of study was six months and follow-up was of 06 months after discharge from ward.
Sample Size: Forty patients for herniated lumber Disc diagnosed on MRI were divided into two groups of 20 each.
Results: Mean age of patients range from 15 to 75 years in group A (open Discectomy) out of 20 patients. 14 patients (70%) stayed < 5 days and 6 patients (30%). stay in hospital > 5 days. In group B 20 patients (100%). Hospital stay < 5 days. C.S.F leak in group A (5%). In group B No. CSF leak recorded in group A. 04 patients (25%) wound infection in Group B, 01 patient (5%) wound infection. Group A patient got prolong hospital stay, on average < 5 days due to extensive dissection and more chance of complication, in comparison Group B patient has less hospital stay, average > 3 days and they are cost effective due to less use of medicines and less chance of complication.
Conclusion: Both surgical technical are equally good and effective regarding pain relief but in term of hospital stay and post-operative wound infection microdiscectomy show superior results than conventional Discectomy.
References
2. Ernst, C. W., Stadnik, T. W., Peeters, E., Breucq, C., and Osteaux, M. J. Prevalence of annular tears and disc herniations on MR images of the cervical spine in symptom free volunteers. Eur J Radiol, 2005:
3. Schoenfeld A.J. and weiner B.K. Treatment of lumbar disc herniation: Evidence-based practice. International Journal of General Medicine, 2010; 3: 209-214.
4. Hoffman R.M. Wheeler K.J., Deyo R.A. Surgery for Herniated LumbarDiscs: A Literature Synthesis. J Gen Intern Med. 1993; 8; 487-496.
5. Righesso O, Falavigna A, Avanzi O. comparison of open Disc Herniations: Results of Randomized controlled trial. Neurosurgery, 2007; 61: 545-549.
6. Lau, D., Han., S.J., Lee, Lu, D.C,. and Chou, D. Minimally invasive compared to open microdiscectomy for lumbar disc herniation. J clinneurosci, 2011; 18 (1): 81-84.
7. Majeed S.A., Vikraman C.S., Mathew V, and Anish T.S. comparison of outcomes between conventional lumbar fenestration Discectomy and minimally invasive lumbar Discectomy; an observational study with a minimum 2- year follow-up. Journal of orthopaedic surgery and Research, 2013; 8:34.
8. Selkowitz D. M. Kulig K, Poppert E.M,. Planangan S.P, Matthews N. D, Beneck G.J. et al. and Physical therapy clinical research network (PT clin Res Net).
The immediate and long-term effects of exercise and patient education on physical, functional, and quality of life outcome measures after single- level lumbar microdiscectomy :a randomized controlled trial protocol. BMC Musculoskeltal Disorders, 2006; 7: 70.
9. Wu, X., Zhuang, S., Mao, Z., and Chen, H. (2006). Microendoscopic Discectomy for lumbar disc herniation: surgical technique and outcome in 873 consecutive cases. Spine (Phila Pa 1976); 31 (23): 2689-2694.
10. Davis, Richard A. (1994). A Long-Term Outcome Analysis of 984 Surgically Treated Herniated Lumbar Discs. Journal of neurosurgery 80, 415-21.
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Copyright (c) 2018 MUHAMMAD AJMAL KHAN, MUHAMMAD AKMAL, RIZWAN SHARIF, KHALID MAHMOODThe work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
