That is:
Percutaneous discectomy or nucleotomy is a new method used to remove the herniated discs of the spine both at lumbar and cervical, without needfor surgery unlike the classical so far. The method consists in performing with the patient awake and under local anesthesia with sedation, a lateral opening of the intervertebral disc hernia that has special instruments with maximum thickness of 4 mm and extracting the contents of the hernia with decreasing the pressure inside the damaged disc with the consequent disappearance of pain.
Importantly disectomy method does not replace traditional surgery for herniated discs, is another method that could avoid surgery, and should be used when a well conducted medical treatment or rehabilitation have failed and with no all herniated discs can be eliminated by this method, the broken discs or patients with neurological deficits should not be treated by this method.
Background: A little history
This new method appears in the absence of security of a good outcome of surgery for herniated disk classic (laminectomy), in which 40% of the patients had some kind of post and of those 40% one makes a not insignificant percentage fibrosis Postoperative (faulty internal scar that will compress even more than before the nerves were compressed by the herniated disk) whose consequences are very lamentable and functional.
History of percutaneous nucleotomy disectomy or goes back to the '80s when a Japanese name Hijikata publishes first attempt percutaneous approach of an intervertebral disc 1987 Monteiro, from Belgium, presented at a series of 6 Philadelphia nucleotomies made by himself with some instruments he makes, then that date in Switzerland, Professor Schreiber begins experimenting with this method to refine the instruments and manufacturing other can be placed within the spine to see all content on a TV, Dr. Schreiber was elected In December 1994 President of the Association of Percutaneous Nucleotomy "also called" Inter-rachis Gieda (international group for the study of surgical approaches to the axis) congress held in Paris-France during the month of December every year under the able leadership of Dr.Daniel Gastambide.