The method of microdiscectomy is the most successful one. Other surgical methods are;
– Laser Discectomy : It is a method in which heat is applied in order to shrink the hernia under local anesthetic. It can be preferred for applicable patients. Success rate is %40-50.
– Endoscopic Discectomy : It is the fixing of the hernia in an endoscopic way ( with a probe that is sent from skin to the location). It is not a method for every lumbar disc herniation. It is fit for applicable patients. Its advantages are that it does not require a skin cut, patient can be discharged early because it causes less damage to the tissues.
– Nucleoplasty : It is the shrinking of the hernia for a small amount by entering with a scope and applying radiofrequency. It can be preferred for simple neck and lumbar hernias.
The best method should be chosen for patients who is decided to be applied surgery by considering factors lik patient’s age and condition, location and type of hernia.
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