Surgery on the spine to remove a hernia: consequences

Consequences of an operation to remove the intervertebral hernia

There is such a joke: if you do not have a car, dacha and osteochondrosis - then you are young and you still have ahead. And indeed, osteochondrosis "overtakes" sooner or later almost every inhabitant of the planet, and only about 20% of the population avoid this fate.

Today, this is the most common disease, the essence of which is degeneration of intervertebral cartilage (discs), it develops gradually, leading to drying out, thinning, cartilage ruptures and, as a result, to the most dangerous complication - hernia disc.

Than the intervertebral hernia is dangerous

Intervertebral hernia

When the cartilage located between the vertebrae breaks down, its limiting ring breaks, through which its central part, the nucleus, forms under pressure, forming a hernia. It can move in any direction, squeeze the nerve roots, the spinal cord and even sequester (break away) and get into the spinal canal.

All this leads to severe pain, a sharp restriction of movements, and squeezing the spinal cord can lead to the development atrophy of the muscles of the limbs, loss of sensitivity, development of paralysis and disorders of the pelvic organs (bladder, thick guts).

Hernia can be expressed in varying degrees: it can recover into its place and even grow, for a while Do not cause complaints and again go out under the load, and can go out significantly and cause serious symptoms and violations. It is in these cases and the operation of removal of the intervertebral hernia is shown, when other methods of treatment are ineffective.

What are the pros and cons of hernia removal surgery?

So, surgical treatment of the hernia of the spine is a forced step, when there is no other choice to help the patient.

As a rule, this is a solution to the problems of neglected osteochondrosis, which has not previously been adequately treated.

Indication for surgical intervention is determined by a specialist or a consultation of doctors after a thorough examination, and the patient should realize its necessity not to become an invalid.

Stages of osteochondrosis

After such interventions, the patient immediately notes improvement, pain decreases, gradually recovering function of the spine, pelvic organs, sensitivity, and hospital stay usually does not exceed several days. All this is a plus, enabling the patient to avoid serious violations, disability and return to normal life.

But there is always a downside to the coin - the minuses you need to know about:

• any intervention (even an elementary operation to remove the umbilical hernia) contains a certain portion of the risk, which can not be predicted by 100%;
• the removal of a hernia leads to a decrease in the height of the cartilage, this increases the load on adjacent vertebrae;
• even after the laser method for the restoration of cartilage is a fairly long time - from 3 to 6 months, and during this period, there may be various complications.

What are the complications after surgery

The appearance of pain after surgery can indicate complications

Modern technology interventions have minimized the complications after surgery to remove a herniated disc.

These are such early complications as a reaction to anesthesia, violations of the function of internal organs, inflammation, damage to the trunk of the spinal cord, and so on.

In this respect, the new methods of operations are practically safe.

The consequences mainly develop after a time after the intervention and most often they are presented:

• resumption of back pain;
• instability of the spine;
• recurrence of disc hernia or appearance of protrusion (prolapse) of the disc;
• the occurrence of spondylolisthesis (displacement of the vertebrae);
• the development of adhesive process with a violation of the circulation of cerebrospinal fluid (cerebrospinal fluid).

To suspect the begun consequences it is possible on strengthening pains in the lumbar (cervical) departments, there can be a numbness in limbs, muscle weakness, delayed urination, difficulty in emptying the intestine, decreased sexual potency. With the development of adhesions and impaired circulation of the cerebrospinal fluid, severe headaches appear.

Is it possible to do without the consequences?

If the operation has been successful, and the patient is discharged with improvement, then the subsequent consequences, as a rule, lie on his conscience. This means that the final result of the treatment depends on how it fulfills all the doctor's recommendations.

They concern the limitation of physical activity, the wearing of a fixing bandage and the implementation of rehabilitation measures (medical physiotherapy, physiotherapy, medication), as well as regular visits to the doctor and the passage of the necessary survey.

Qualitative postoperative rehabilitation and strict implementation of the doctor's recommendations is the main condition for fixing the effect of the operation of removing the intervertebral hernia and preventing the development of various undesirable consequences.

We advise you to read:laparoscopy of inguinal hernia

Attention!The information on the site is presented by specialists, but is of a fact-finding nature and can not be used for self-treatment. Be sure to consult a doctor!

A source: http://VseOperacii.com/gryzhy/posledstviya-udaleniya-mezhpozvonochnoj-gryzhi.html

Effects of an operation to remove a hernia of the spine

A dangerous consequence of a degenerative-dystrophic spine injury that occurs with osteochondrosis is the intervertebral hernia. Hernial protrusion is a consequence of lesions of the fibrous ring of the intervertebral disc, which is treated with an operative or conservative method.

What is dangerous for the intervertebral hernia?

A number of negative pathologies that occur after the formation of convexity due to the compression of the nerve roots and frequent treatment of young patients age with complaints of intense pain syndrome, led to the fact that modern medicine has become more frequent to resort to an operative method of treatment.

Such a disease is treated with a conservative method. To surgical intervention, doctors resort to certain indications or, when the traditional method does not yield results. The disease left untreated leads to irreversible consequences.

Degenerative-dystrophic processes appearing in the body, as a consequence of the interaction of external and internal negative factors, lead to protrusion or damage to the fibrous ring of the intervertebral disk. There is a protrusion of the pulpous nucleus of the disc into the vertebral canal.

The resulting disease squeezes the nerve tissue, which leads to compression of the nervous structures and the emergence of a vast pain syndrome.

Some hernias of the spine can lead to potential risks to the normal functioning of the spinal cord, appearing in certain directions of squeezing the core of the damaged disc.

Loss of cartilaginous tissue of the damping function leads to damage and destruction of the vertebral body.

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This disease can be a consequence not only of osteochondrosis, but also trauma of the spine, violation metabolic processes in the body, negative hereditary anomalies in the structure of cartilaginous and bone tissue.

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In addition to the pain syndrome, the disease eventually leads to disability, paralysis of the limbs, disorders of the natural functions of internal organs.

Depending on the location, it can threaten the brain or spinal cord, heart activity, disruption of normal blood circulation, outflow of the cerebrospinal fluid.

Pain sensations in the region of the back and spine often become external manifestations of serious pathologies of the osteoarticular apparatus of man. With the first symptoms of this kind, a doctor should be contacted immediately.

Pros and cons of laser removal of the intervertebral hernia

Pathologies that require immediate treatment because of possible negative scenarios of progression are eliminated by surgery. Modern technologies made it possible to surgically interfere with vaporization (a method of removing protrusion by the laser).

Removal of intervertebral hernia laser - a progressive method of modern surgery, in which the operation time is reduced to a minimum period, and significantly shortens the rehabilitation.

The laser beam, directed through a needle with an LED, evaporates the liquid inside the disk, removing the damaged segment. After the regeneration of the cartilaginous tissue, after a certain time, an artificial circulatory simulation is created, the vital activity of the operated site is restored.

With laser intervention, there is no excision of muscles and tissues, which is inevitable in other types surgical treatment, and in the absence of complications the patient can return to normal life after 3-4 day.

Complications after surgery with a laser are manifested in the form of a relapse of the disease caused by negative processes in the body, which already led to the appearance of pathology.

Among the possible consequences is a decrease in the support function of the spine, resulting from the removal of the disc.

Consequences of removal of a hernia of the spine

Operation is a relatively simple way out of the situation, in which long-term treatment is not required.

But the operative method has a number of possible consequences, including intraoperative complications, postoperative complications and inflammatory processes, long rehabilitation period and recurrence of hernia after operation.

Restorative period involves permanent treatment.

Intraoperative complications can occur during surgery, the effects of a spinal hernia operation appear in the early and late operational period.

The frequent complication of surgical treatment can reach 5 to 30% and is called a relapse of the disease.

Removing a patient from a disease through traditional surgery can cause various problems:

• nerve damage and loss of motor function of the limb;
• trauma of the dura mater;
• bleeding;
• local purulent-septic complications (epiduritis, osteomyelitis);
• general (pneumonia, sepsis);
• thromboembolism;
• recurrent vertebral hernia:
• cicatrical-adhesive process, partial closure of the lumen of the spinal canal;
• stenosis of the arteries.

The consequences of the therapy, even without special problems, consist in excising healthy tissues and muscles, for the healing of which requires a long rehabilitation.

Treatment after surgery and rehabilitation

Recovery after surgery is determined only by the attending physician.

Its tactics are chosen depending on the severity of the lesion, the type of intervention performed and the state of the patient's body.

The course of rehabilitation is a long and complex process, requiring individual medical treatment, perseverance and patience of the patient.

A source: https://MoyOrtoped.ru/lechenie/posledstviya-operatsii-po-udaleniyu-mezhpozvonochnoj-gryzhi

Is surgery to remove a hernia of the spine dangerous: what consequences after it can be

The answer to this question torments every potential patient of a specialized surgical department.

But the doctors, as if conspiring, do not give a full answer to the question of whether the operation to remove the hernia of the spine is dangerous, referring to the recommendations of the Ministry of Health.

But this is just understandable, because the main task of modern medicine - as soon as possible to return ability to work, especially without thinking about what consequences for the body can occur in future.

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We recommend that you carefully read the proposed material, which tells about theconsequences after an operation to remove the intervertebral hernia- this will help you make the right decision.

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First of all, it is necessary to understand that the vertebral column, ligamentous and muscular apparatus is a single mechanism, which is a kind of core or skeleton for the entire human body.

Surgical or traumatic intervention at any point inevitably has a negative impact on all other structures. The organism always strives to compensate for the inadequacy of this or that organ.

Most often this occurs by forming adhesions from coarse connective tissue fibers, thickening of bone growths and other destructive (destructive) processes.

In order to understand whether surgery to remove the hernia of the spine is dangerous, one should imagine the process of its carrying out. As a rule, a skin incision is made and the surgeon simply removes part of the intervertebral disc that has lost its cushioning ability.

In this case, there is no effect for a real restoration of the physiological structure of the cartilaginous muscle tissue. Those. simply the consequence is eliminated, but the reason of the hernia is not treated.

At incisions, infection, nerve fiber trauma and many other complications are possible.

What are the consequences after the operation of the strangulated hernia

As already mentioned above, there are currently no safe and effective methods of surgical recovery of spine health.

Most often this is a forced measure for preserving a person's life.

Look, what consequences after the operation of the strangulated hernia occur more often, and you will understand that it is necessary to treat this disease in time and with the help of effective methods.

Among the likely complications are:

• partial paralysis of the lower and upper extremities;
• disruption of the bladder and intestines;
• interruptions in the work of the heart;
• deterioration of blood supply to brain structures;
• pain syndromes;
• loss of physiological mobility in the spine.

In the distant future, arthroses and arthritis of large joints develop: fast, arthritis and arthritis: hip, knee, shoulder. Violated posture and gait.

There is a rapid physical fatigue. A pronounced adhesion process is formed, which further contributes to the progression of the osteochondrosis of the spine.

There is no way back after the operation. No other treatment is possible after this. Only consecutive surgical interventions to remove all subsequent hernias.

And they occur with a frequency of 75 - 80% of the total number of operated patients.

Yes, it will be a long and sometimes painful process, during which you will have to change your way of life and follow the recommendations of specialists. But the result will be completely different.

This is the complete restoration of spinal health and the prolongation of the patient's life. Life is full, full of active physical activity and free from constant pain in the back and neck.

We use osteopathy and therapeutic massage, traction traction and exercise, reflexology and electrostimulation of muscle fibers.

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Together, all these methods give an amazing result - the amortization capacity of the intervertebral disc is restored.

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The hernia is completely restored within the physiological boundary of the disc.

Consequences after the operation to remove the intervertebral hernia

There are other consequences after the operation to remove the intervertebral hernia, which is no less a threat to the quality of life of the patient. Let's try to list frequently encountered.

The first signals of trouble can come from the anterior and longitudinal ligaments of the spine. They are damaged during surgery most often. In them, areas of dense connective and sclerotized tissue are formed.

They lose their ability to stretch and elasticity. There is a state of constant muscular tension and a gradual growth of the bone tissue of the vertebral bodies. There is stiffness of movements, constant agonizing pains in the back.

The second complication in frequency is a violation of the innervation of internal organs. This can manifest in the form of increased urination, regular constipation and diarrhea, the development of arrhythmia of the heart rhythm, sclerotic processes in the brain.

The disease manifests itself with pronounced neurologic symptoms: paralysis, impaired coordination of movements, decreased sensitivity. May provoke the development of acute purulent meningitis.

The probability of a lethal outcome is high. Restoration of all functions after such a complication is impossible.

Osteomyelitis of the spine and large joints has recently been less common due to the development of minimally invasive methods of performing surgical operations.

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But the risk of accelerating the process of further destruction of the spine remains very high, since in postoperative period, the patient for a long time is deprived of full physical activity.

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Destructive processes in the cartilaginous tissue are accelerated, and an increasing compensation load leads to the fact that during 1 - years, develop multiple hernia discs in the conjunctive parts of the vertebral post.

Do not delay with the treatment of the spine, contact our clinic of manual therapy right now and you will receive an exhaustive free consultation of the leading specialist. He will get acquainted with your medical history and give recommendations on further treatment without surgery and its negative consequences.

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The operation to remove the hernia of the spine is all for and against

Whoever suffers from a hernia of the spine, knows what pain arises with it - a long, not passing for weeks, unaffordable painkillers, and how hard each movement is given.

And sometimes the disease leads even to paralysis of the extremities and to disorders in the work of important internal organs, and then speech about normal vital activity, of course, can not go at all.

The operation to remove a hernia of the spine sometimes becomes for such a patient the last alternative and the hope that it will bring healing.

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The decision on the operation to remove the vertebral hernia should be taken by the person carefully, weighed and not hastily.

The time period after which, in the absence of the effect of traditional methods of treatment, it is proposed to remove the hernia, is considered a month and a half.

However, it is better to increase this period to three months, if, of course, there is strength and endurance, and there is no deterioration in health.

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In most cases, we are too hasty and quickly succumb to panic, and we hate to endure the pain and often exaggerate it. And we spare ourselves and are lazy to engage in physical therapy, which is the decisive factor in recovery

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The doctor should honestly warn the patient:

• surgery to remove the intervertebral hernia does not give a 100% guarantee of recovery,
• often leads to recurrences and consequences
• the patient should take an active part in treatment during the rehabilitation period to avoid these possible relapses and consequences

Types of surgery to remove a herniated spine

Here are the basic operations to remove the intervertebral hernia:

• discectomy
• laminectomy
• endoscopy
• microdiscectomy
• disk nucleoplasty
• laser discoplasty

Each of the methods has its strengths and weaknesses. The choice of the type of operation depends on the anamnesis (medical history), the diagnosis made, the choice of the patient and his material capabilities.

Discectomyis considered obsolete now the method of removing the hernia of the spine.

The essence of this open operation - through a cut in the skin about 8 cm long, under general anesthesia, is removed all disk with pathology or its part, as well as resection of the bony processes of the vertebrae, arterial or dorsal brain.

Disadvantages of this method:

• Because of possible insertions into the spinal canal, the risk of inflammatory processes in the meninges increases. This requires extensive antibiotic therapy and the presence of a patient in a hospital for up to 10 days
• The supporting and motor functions of the spine recover more slowly because of the large surface of the injuries

Pluses:

1. The smallest percentage of relapses with a radical disc removal (about 3% during the first year)
   This is due to the fact that in the remaining parts of the disc, a hernia can always develop, but completely removed, the disk is replaced by a fibrous connective tissue during healing
2. A relatively small price

Perhaps, these two advantages will be decisive for those who are just not in a hurry to write off this conservative method from the accounts.

LaminectomyIs an operation under local or general anesthesia to remove that part of the arch of the vertebra (lamina), to which the hernia presses the nerve root.

Pluses:

1. Fast healing, sick on the third day can leave the hospital
2. As a result of the release of the nerve, pain almost immediately ceases, and the blood supply of the spine improves

Disadvantages:

1. Bleeding and the risk of infections after surgery (cut length up to 10 cm)
2. Danger of nerve damage and obstruction of blood vessels

Endoscopy- a popular and widely advertised minimally invasive operation to remove disc intervertebral hernia. The use of a special spinal endoscope and microscopic instruments make it possible to make the incision minimal (up to 5 mm).

An endoscope with a lamp and a camera that transmits an enlarged image repeatedly to the screen is inserted into the lateral foramyl opening (this is the hole through which the nerve root passes), then a very thin instrument removes the hernia or her sequestration.

Benefits:

1. The operation is almost bloodless and lasts only about an hour
2. Muscles and ligaments are not damaged, but are expanded by special tube expanders, which provides good postoperative healing
3. The patient's discharge is almost the next day
4. The recovery period for the spine is theoretically 3 weeks

However, do not be too pleased with such obvious advantages of endoscopic surgery. She has not less, but may have more flaws. Therefore, we must weigh everything carefully before making a decision.

The disadvantages are the following:

1. This method is not suitable for all types of herniation of the spine, an important role is played by their location
2. The operation is performed most often under spinal anesthesia, which itself due to its consequences and complications requires careful preparation and preliminary intravenous infusions. Otherwise, a persistent headache may occur as a complication
3. The risk of complications and relapses after operations is about 10%, and this is not such a small figure. The cause of recurrence of a hernia is often considered to be the epidural syndrome that often occurs after surgery
4. Finally, endoscopic removal of the vertebral hernia is quite expensive

MicrodiscectomyIs a neurosurgical operation to remove the interdisk vertebral hernia, performed at a microscopic level with the help of the most modern instruments and a powerful microscope. The essence of it is in penetration through a 3-4 cm incision into the region of the compressed nerve, the removal of the hernia of the disc and the release of the nerve in this way.

At the moment, these kinds of operations are recognized as fairly successful and are often applied.

The operation is performed under general anesthesia. The muscle tissue is also not damaged. To gain access to the compressed nerve, part of the yellow ligament of the spine and, if necessary, the edges of the lamina are removed.

The released nerve is carefully moved aside and the nucleus deforming the disk or its fallen fragments are removed. To regenerate the operated disk, it can be laser irradiated.

Advantages of the operation:
1. Effective and rapid withdrawal of pain syndrome
2. A short stay in the hospital: an extract is possible on the third day
3. The possibility of removing hernias immediately in several places
4. Return to inactive activities, it is possible in a month, to active physical - through one and a half

However, with endoscopy and microdiscectomy, despite a short recovery period musculoskeletal capacity of the spine, it is recommended to wear supporting hard corsets.

The shortcomings of microdisectomy include:

1. Cicatricial-adhesive epiduritis, leading to repeated radicular pain and relapses in about 10-15% of cases
2. The high price: the approximate cost of microdisectomy with laser reconstruction of the disk in the Moscow clinic is about 7, 00 rubles

Disc NucleoplastyIs a modern minimally invasive operation to remove the interdisk vertebral hernia, performed under local anesthesia, the meaning of which is to reduce pressure on the nerve root from the side of the hernia.

Under X-ray inspection, a needle with a diameter of 2-3 mm is introduced into the damaged disc, through which the generator supplies radio frequency, laser or plasma radiation.

The needle is inserted in several places, which creates channels in which, under the influence of heating up to 52, the disc substance partially breaks up.

As a result, the pressure of the disk on the nerve decreases and the pain subsides.

Pros of this operation:

1. Simplicity and safety, the operation lasts approximately 40 minutes
2. Minimal consequences and complications after surgery
3. You can go home in a few hours

Minuses:
In this way, unfortunately, you can remove the hernia, the size of no more than 7 mm.

Laser discoplasty- this operation can be performed as separately, for the purpose of reconstruction of the damaged disc, and in conjunction with the surgical removal of the hernia.

The process is the same as with disk nucleoplasty: a laser emitter of low power heats the disk in several places up to 70, ̊ and this contributes to its recovery.

Conditions for successful operation

The general condition for the success of all these operations is the following:

1. The operation should be preceded by an examination on a computer or magnetic resonance tomograph, consultation with other doctors and an anesthesiologist,
2. You should know that not every operation is suitable for your type of hernia of the spine. Its position, size and other factors are of great importance
3. After some operations, there may be postoperative complications, so additional antibiotic therapy is required
4. After healing and removal of sutures treatment does not end: a long period of recovery of the spine begins, which includes the wearing of corsets and special therapeutic exercise in order to prevent the development of complications and relapse. Do not forget to go for check-ups to your doctor

Many people are interested in the cost of surgery to remove the hernia of the spine.

This question is so individual and depends on which city or country the clinic is in, that it is best to contact the surgical center directly to find out the price.

On different sites and forums you can find information from past years, but everything flows, everything changes. Health to you and your spine!

on the operation to remove the hernia of the spine

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Warned - means armed, or identify possible complications of intervertebral hernia

Hernia gives many inconveniences to a sick person. Timely disposal of the disease will avoid undesirable consequences.

Complications of intervertebral hernia can occur not only at the stage of the disease course, but also after.

Therefore, human health is only in his own hands. Implementation of medical recommendations will create a more comfortable course of getting rid of the disease.

Threatened by an untreated disease

The most common complications. In the absence of appropriate treatment, a person is limited in movement, and there is a high probability of problems with pelvic organs, loss of sensitivity of the limbs.

The patient simply loses the opportunity to live and work normally. Over time, the muscles begin to atrophy, there are swelling, painful sensations increase.

is considered a fairly common complication of hernias. This consequence of the disease is characterized by the presence of acute pain, which increases with a change in body position or lifting of heavy objects.

Thus the person during an attack of a radiculitis can not unbend a back or turn. This is due to the strongest pain.

The danger is due to close proximity to the brain. The consequences of such a disease are not only, but also a deterioration in memory, which significantly affects the quality of life.

Effects of surgical intervention

If the operation is considered the only way out in this situation, the surgical intervention should not cause the patient to worry.

High-tech equipment and qualified specialists with the least traumatism will relieve the patient of anguish. But small risks during the operation take place:

• damage to the nerve, leading to pain, numbness of the limbs;
• sudden detection of anomalies during the operation and the difficulty of their removal;
• infection.

However, any patient can develop complications after the removal of the intervertebral hernia. The most common of these are:

• burdening the flow: at a certain point in time a person begins to feel pain again, and the disease progresses much faster;
• secondary, caused by the almost inevitable formation of scars and adhesions;
• epidurit: inflammation occurs in the spinal cord, which is fraught with the appearance of meningitis;
• re-emergence of a hernia: often occur when the recovery period is incorrectly performed;
• paralysis caused by trauma to nerve fibers during surgery.

It should be remembered that in the implementation of all the recommendations of doctors in the probability of occurrence of any consequences is minimized.

Correct passage of the recovery period

Any surgical intervention will not be successful if the patient neglects rehabilitation.

To learn how to avoid possible complications after surgery, you should consult your doctor. He will fix the recovery course.

Prevention of relapses is usually aimed at reducing pain syndrome, restoring motor functions and eliminating probable pathologies. As rehabilitation measures recommend:

• a special program of physical exercises and some restrictions in the movements;
• drug treatment;
• and other recovery procedures.

In any case, in the postoperative period, lasting from 2 to 4 weeks, is strictly prohibited:

• sit down - this helps increase the burden on the injured spine;
• physically load the body - lifting weights of permitted weight only in the correct position;
• abruptly turn or move - when used during implant surgery, there is a great risk of its displacement with careless movements;
• sleep or lie on a soft bed - the surface must be rigid, it is allowed to use supporting pillows;
• bad habits - only a healthy lifestyle is able to restore the body;
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In addition, the operated patient, even with uncomplicated hernia appoint a reception. If necessary, then recommend anti-inflammatory drugs or drugs that remove puffiness.

The complex of activities also includes kinesitherapy, the use of therapeutic baths, and exercise.

The systematic approach to recovery allows you to get rid of a possible complication after an operation to remove the intervertebral hernia.

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Any surgical intervention is considered quite a serious process and fraught with the emergence of consequences.

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Therefore, a person suffering from a hernia of the spine should stock up on a lot of patience so as not to suffer from complications after the operation. The duration of rehabilitation therapy will ensure a guaranteed success.

Denial of responsibility

The information in the articles is intended only for general reading and should not be used for self-diagnosis of health problems or for therapeutic purposes.

This article is not a substitute for medical advice from a doctor (neurologist, therapist).

Please consult your doctor first to know the exact cause of your health problem.

A source: http://osteohondrosy.net/preduprezhden-znachit-vooruzhen-ili-vyyavlyaem-vozmozhnye-oslozhneniya-mezhpozvonkovojj-gryzhi.html

Surgery on the spine removal of hernia after effects

The spine is a kind of constructor, built of 33 vertebrae - small bony formations.

All the vertebrae consist of the vertebral body itself and the arc that is attached to it from behind.

Each element of the spine is connected to its "neighbor" by the intervertebral disc.

Anatomical digression

The intervertebral disc is a cartilaginous formation that acts as a connective tissue between the vertebrae. It also performs the functions of depreciation with the movement of the spine, ensures its elasticity and flexibility.

The intervertebral disc consists of several layers:

• gelatinous or pulpous nucleus - has a soft consistency;
• fibrous ring - a denser connective tissue with high strength, surrounding the pulpous nucleus.

The lack of treatment of the intervertebral hernia, especially its neglected forms, can lead to serious illness and disability.

The most sparing and easy for the patient to eliminate this disease is microdiscectomy - microinvasive surgery to remove the intervertebral hernia and eliminate pressure on the spinal nerve or spinal cord.

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The operation is performed with the mandatory use of microsurgical instruments, as well as an operating microscope. At the same time, bone tissues are not affected, and there are practically no traces left from the incision.

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Positive moments of the operation include its transience (10-30 minutes), and the short-term stay in a hospital: 2-4 days, and possibly even less.

Indications for operation

Microdiscectomy is most often performed in the lumbar or cervical spine.

The lumbar department operates in the case when the hernia is large or conservative treatment has not yielded results.

This is necessary to eliminate pain in the lower limbs (sciatica), arising from the squeezing nerve root, as well as to prevent paralysis, which can be formed due to pressure on the dorsal brain.

It is not uncommon for cases of disruption in the functioning of the bladder and / or intestines due to the effect of hernia on nerve bundles. In this case, microdiscectomy is also shown.

In the cervical spine, the operation is also performed in order to relieve pain, These are due to the influence of a hernia, hypertrophied ligaments or bone processes on the spinal cord and nerve roots.

General indications:

• inefficiency of conservative (medicamental, physiotherapeutic) treatment for 6 weeks;
• horse tail syndrome or paralysis;
• severe pain syndrome;
• the presence of a hernia from an MRI or CT scan.

Preparing for intervention

Preparation of the patient for the operation is as follows:

• examination with a doctor;
• conducting magnetic resonance or computed tomography;
• fasting before surgery for 8 hours;
• Anesthesiologist examination and selection of the optimal method of anesthesia, based on data on allergic reactions to drugs, as well as patient's illnesses in the anamnesis.

In order to provide the anesthesiologist with the most detailed picture of chronic diseases and especially allergic reactions, it is best to prepare and collect all the information in advance.

Depending on the spine, the procedure is different.

Microdiscectomy of the lumbar region

First, an incision of 2-4 cm in length is made in the area of ​​the affected disc. Then, with the help of special tools, muscles are removed to the side and the yellow membrane closes the nerve roots.

For a detailed review of neural beams, an operating microscope is used.

After all the "obstacles" are pushed aside, the intervertebral disc is removed from under the nerve roots.

Further, laser irradiation of the disk is performed, which is necessary to accelerate the recovery processes, as well as to exclude relapse. The completion of the operation is suturing the surgical incision.

Neck

The incision is made on the front surface of the neck. All the muscles and organs that prevent access to the vertebrae are also pushed aside without cuts and lesions.

Further, the hernia, the affected disc, is removed. However, this operation ends in very rare cases.

Most often, after the removal of damaged tissues, the spine stabilizes, which consists in "replacing" the removed cartilage with a prosthesis or with the patient's own bone tissue.

After stabilization, the cut is also sewn.

Rehabilitation after surgery

After the operation has departed from anesthesia, it is recommended that he immediately get up and walk a little.

It is necessary for the spine to "stand in place and also to give it (the spine) flexibility and prevent the formation of tissue scars at the site of the operation.

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After the operation in the lumbar department, it is recommended to wear a semi-rigid corset for 1-2 months, a cervical head restraint in the cervical region.

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You can start non-physical activity after 1-2 weeks, to physical activity - after 3-4 weeks.

Restrictions after surgery

During the rehabilitation period after microdiscectomy, it is prohibited to sit too long, make sharp slopes, twist the trunk, stretch, lift weights (more than 3 kg). Some specialists forbid sitting up to 6 weeks after the operation.

Complications

In the conduct of microdiscectomy, as well as in the post-operation period, complications are infrequent, but there are:

1. Rupture of the cerebrospinal membrane, as a result of which leakage of the cerebrospinal fluid may occur. In this case, the patient must comply with bed rest for tissue healing.
2. Incontinence of urine or feces.
3. Damage to the nerve root.
4. Infection.
5. Bleeding.
6. Inflammation of the disc.

The probability of recurrence of the disease in the first year after the operation is 5-10%.

Cost of the procedure

In the capital, the cost of microdiscectomy is 60-80 thousand. rubles depending on the prestige of the institution and the additional services provided.

The specified price range usually includes a pre-operative examination with the necessary analyzes, the operation itself and observation in the hospital (if it is supposed to be) in the post-operation period.

In other cities prices are slightly lower:

• Petersburg - 45-60 thousand. rubles;
• Krasnodar - 30-35 thousand. rubles;
• Novosibirsk - 35-40 thousand. rubles;
• Ekaterinburg - 30-35 thousand. rubles.

The prices are for information only. The specific cost of the operation is determined in each case separately.

They went through the procedure

The feedback of patients who had microdiscectomy made it possible to conclude that after the operation they all felt relief and reduced pain in the spine.

According to statistics: every 10th patient, suffering from a herniated intervertebral disc, needs surgery. Naturally, it is possible to alleviate or even cure this disease in its early stages with the help of a conservative method, however, it takes a lot of time and patience.

And the most effective and safe operation to remove the intervertebral hernia is microdiscectomy.

Surgery to remove the intervertebral hernia and indications to her

Unsuccessfully trying to cure your ailment with pills and injections, with all sorts of folk recipes and God knows what else, you agreed with the doctor that the operation to remove the intervertebral hernia you need. Now it's up to the little one to decide how to conduct the operation and where to do it. In the public clinic or in private? At home or abroad?

Of course, you will definitely choose. And to facilitate your choice, we will try to explain how the operation to remove the hernia of the spine is performed. We will also tell you what kinds of operations are used in modern medicine.

But before we tell how the surgical treatment is performed, we want to focus your attention on the following. Any operation should be carried out only on absolute medical indications! In the case of the removal of the hernia, this is the case.

When is the operation necessary?

Absolute indications for surgery are:

• Sequester or sequestered hernia. In this situation, the pulpous nucleus of the intervertebral disc falls precisely into that region of the spinal canal, where the spinal nerves and the spinal cord are located. Sequester is characterized not only by severe pain, complication of such a hernia can be paralysis.
• Compression (compression) of the spinal cord, which arose as a result of a hernia. Forecasts of this condition are also extremely unfavorable - numbness of the extremities, paresis, paralysis.

Surgery of hernia is sometimes carried out and according to relative indications. These include:

• Absence of effect with prolonged drug treatment;
• Absence of results in non-pharmacological methods of treatment (traction, etc.).

Types of operations

Modern medicine offers several ways in which an operation to remove a hernia can be performed:

1. Minimally invasive method or laser vaporization;
2. Radical method - laminectomy, discectomy.

Now let us analyze in detail the advantages and disadvantages of each method.

Laser vaporization

With laser vaporization, a laser light guide is inserted into the cartilaginous tissue, which heats the core of the disc to a very high temperature. Thus, the core of the disk loses water, why its volume decreases dramatically. As a result, hernia size is significantly reduced.

Minimally invasive (laser) surgery is now very popular. Treatment of a hernia with a laser is widely advertised, dozens of clinics offer patients their services.

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Note, laser treatment is not cheap. In Moscow, the price of such an operation varies from 1, 00 to 8, 00 rubles.

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According to advertising descriptions, the intervertebral hernia is a trifle, with which the laser expands into 2 accounts. But is it really so?

Benefits

• Low traumatism;
• Low degree of structural changes in the postoperative period;
• Short rehabilitation period (up to a month) and stay in hospital (2 - 4 days).

disadvantages

• Because of the novelty of the method of information on the long-term consequences is not described;
• Occurrence of edema and inflammatory changes in the place of operation;
• Inability to restore the motor activity of the vertebra;
• Presence of multiple contraindications. Laser vaporization can be performed only if the hernia is uncomplicated.

Radical operation

If the hernia of the spine in the patient is complicated by sequestration, he undergoes a radical surgery to remove the diseased disc.

This surgical method is called discectomy.

The operation can be performed with the replacement of the diseased disc with a titanium denture in order to maintain the motor activity of the spine as much as possible.

Removal of the disc is performed under general anesthesia, after a thorough preoperative examination.

Benefits

• High efficiency of this method. Only in 10% of cases the hernia can recur;
• Restoration of motor function in the damaged department;
• Sufficient experience in carrying out such interventions.

disadvantages

• Possibility of re-emergence of a hernia;
• Adhesive processes;
• Inflammatory processes in the membranes of the spinal cord;
• Long period of rehabilitation after surgery.

We talked about the methods of surgical treatment for the removal of the intervertebral hernia, now we will consider such a pathology as Schmorl's hernia. Does she need surgical help?

Above we said that the intervertebral hernia is radically treated only with absolute medical indications. So, Schmorl's hernia is not such a testimony, as it does not compress the spinal cord and does not affect the nerve endings.

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This diagnosis - a kind of warning to the patient that there may be a true or sequestered hernia, which can not be avoided without surgery.

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Properly selected conservative treatment, a healthy lifestyle in conjunction with physiotherapy and physiotherapy procedures will help you cope with Schmorl's hernia without radical measures.

Recovery period

Speaking about the postoperative period, we should especially mention rehabilitation measures. Of course, the ideal option - rehabilitation after surgery in the profile sanatorium, where the recovery process will be managed by a doctor.

But if there is no such possibility, rehabilitation can be done in outpatient settings. The main thing here is the same medical control and strict observance of all medical recommendations.

After the operation it is necessary to wear a special hard corset, which fixes the back. But it needs to be done according to certain rules, not around the clock, as many patients do in the hope of getting better.

Loads after the operation are introduced very, very gradually. But you can not restrict them completely.

The term of the recovery period directly depends on what kind of hernia you had, and what method of surgical intervention was used.

For each patient, this time interval is strictly individual.

There are cases when during the recovery period the patient is prescribed medications.

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Do not force events, the recovery process is no less important than the operation itself. Correctly conducted rehabilitation will help you not to fall into the number of patients with relapse of the disease.

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A source: http://lechenie-sustavy.ru/gryzha/operatsiya-na-pozvonochnike-udalenie-gryzhi-posledstviya/