Comparison Between Conventional vs. Endoscopic Lumbar Discectomy
NCT ID: NCT03137485
Last Updated: 2018-12-19
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
30 participants
INTERVENTIONAL
2016-12-31
2018-08-31
Brief Summary
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Detailed Description
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Mixter and Barr described the first surgical procedure to remove the herniated lumbar disc in 1934 through a laminectomy and durotomy, with later enhancement by Semmes, who described approaching the herniated disc through hemilaminectomy and retraction of the dural sac. This became popularized as the "classical discectomy technique.
During the latter half of the 19th century, more techniques were developed to remove the herniated disc with minimal invasiveness. The first herniated disc excision using a microscope (microdiscectomy) was performed by Yasargil in 1977, which was the standard surgical procedure at the time In 1993, Mayer and Brock and then in 1997, Smith and Foley described endoscopic discectomy techniques. With these minimally invasive techniques, authors demonstrated decreased soft tissue manipulation, operative time, blood loss, and hospital stay, allowing early recovery.
In this study we try to evaluate clinical and radiological outcomes of percutaneous endoscopic translaminar discectomy at our hospital.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Conventional
Patients in this arm will have conventional open lumbar discectomy operation.
Conventional open lumbar discectomy
Removal of single level lumbar disc herniation through conventional discectomy.
Endoscopic
Patients in this arm will have Percutaneous Endoscopic Translaminar lumbar discectomy operation using Easy Go system Endoscopy
Percutaneous Endoscopic Translaminar lumbar discectomy.
Removal of single level Lumbar disc herniation using endoscope.
Easy Go system Endoscopy
This system will be used to remove herniated disc in endoscopic group
Interventions
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Conventional open lumbar discectomy
Removal of single level lumbar disc herniation through conventional discectomy.
Percutaneous Endoscopic Translaminar lumbar discectomy.
Removal of single level Lumbar disc herniation using endoscope.
Easy Go system Endoscopy
This system will be used to remove herniated disc in endoscopic group
Eligibility Criteria
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Inclusion Criteria
* L4,5 \&L5,S1 disc prolapse
* Failure of conservative management after 12 weeks.
Exclusion Criteria
* Lateral recess stenosis or spondylolisthesis.
* presence of neurological deficit.
18 Years
60 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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H A Othman
Resident Doctor, Neurosurgery Department, Assiut Universiy Hosipitals
Principal Investigators
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Mohammad T Ahmed, Professor
Role: STUDY_CHAIR
Head of Neurosurgery Department, Assiut University Hospitals
References
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Gibson JN, Waddell G. Surgical interventions for lumbar disc prolapse. Cochrane Database Syst Rev. 2007 Apr 18;2007(2):CD001350. doi: 10.1002/14651858.CD001350.pub4.
Gotfryd A, Avanzi O. A systematic review of randomised clinical trials using posterior discectomy to treat lumbar disc herniations. Int Orthop. 2009 Feb;33(1):11-7. doi: 10.1007/s00264-008-0559-2. Epub 2008 May 24.
Evaniew N, Khan M, Drew B, Kwok D, Bhandari M, Ghert M. Minimally invasive versus open surgery for cervical and lumbar discectomy: a systematic review and meta-analysis. CMAJ Open. 2014 Oct 1;2(4):E295-305. doi: 10.9778/cmajo.20140048. eCollection 2014 Oct.
Jiang W, Sun B, Sheng Q, Song X, Zheng Y, Wang L. Feasibility and efficacy of percutaneous lateral lumbar discectomy in the treatment of patients with lumbar disc herniation: a preliminary experience. Biomed Res Int. 2015;2015:378612. doi: 10.1155/2015/378612. Epub 2015 Jan 28.
Other Identifiers
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ENDODISC
Identifier Type: -
Identifier Source: org_study_id