Management of Lumbar Discectomy by Endoscopy and Conventional Microscopic Discectomy

NCT ID: NCT06193265

Last Updated: 2024-03-01

Study Results

Results pending

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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Recruitment Status

RECRUITING

Total Enrollment

440 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-01

Study Completion Date

2024-06-30

Brief Summary

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Currently, microscopic discectomy is performed as a minimally invasive surgery, thus reducing impact of so-called conventional "open" discectomies.

Although more technically demanding, discectomy with full endoscopy made possible a significant reduction of surgery invasive impact, thus making possible to broaden the field of endoscopic surgery indications.

This study is based on hypothesis that complete endoscopic discectomy offers several advantages over traditional microscopic discectomy, including a smaller skin incision and therefore fewer scars and less muscle damage, lower infection rate, less blood loss, less painful post-operative recovery and shorter hospital stay length.

Detailed Description

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Discectomy is the most common surgical technique to solve lumbar radiculopathy caused by disc herniation and nerve roots compression .

Currently, microscopic discectomy is performed as a minimally invasive surgery, thus reducing the impact of so-called conventional "open" discectomies.

Minimally invasive spinal surgery was developed using a retractor tube, a microscope, and an endoscope to perform efficient nerves decompression while preserving spinal cord stabilizing structures.

Although more technically demanding, discectomy with full endoscopy made possible a significant reduction of surgery invasive impact, thus making possible to broaden the field of endoscopic surgery indications.

This study is based on hypothesis that full endoscopic discectomy offers several advantages over traditional microscopic discectomy, including a smaller skin incision and therefore fewer scars and less muscle damage, lower infection rate, less blood loss, less painful post-operative recovery and shorter hospital stay length.

Conditions

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Radiculopathy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Surgery under full endoscopy

A full endoscopic surgery will be performed on patienst with herniated disc

Discectomy

Intervention Type PROCEDURE

Discectomy is total or more often partial intervertebral disc surgical removal

Conventional microscopic surgery

A conventional microscopic surgery will be performed on patienst with herniated disc

Discectomy

Intervention Type PROCEDURE

Discectomy is total or more often partial intervertebral disc surgical removal

Interventions

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Discectomy

Discectomy is total or more often partial intervertebral disc surgical removal

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patient, male or female, aged ≥ 18 years
* Patient operated under endoscopy for lumbar disc herniation between February 2020 and May 2022
* Patient operated by conventional microscopic surgery for lumbar disc herniation before February 2020
* Patient having been informed of the research and not opposing its data use as part of this research

Exclusion Criteria

* None
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GCS Ramsay Santé pour l'Enseignement et la Recherche

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hôpital Privé Jean Mermoz

Lyon, Toutes, France

Site Status RECRUITING

Countries

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France

Central Contacts

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HENRI D'ASTORG, MD

Role: CONTACT

+ 33 6 61 38 77 12

Facility Contacts

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HENRI D'ASTORG, MD

Role: primary

+33661387712

Other Identifiers

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RGDS-2022-06-025

Identifier Type: -

Identifier Source: org_study_id

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