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Low Back Pain Abstract

Preliminary Report of Minimally Invasive Endoscopic Guided Lumbar Surgery in a Free Standing Outpatient Center in WA State

Topic: Low Back Pain

 

PRELIMINARY REPORT OF MINIMALLY INVASIVE ENDOSCOPIC GUIDED LUMBAR SURGERY IN A FREE-STANDING OUTPATIENT CENTER IN WASHINGTON STATE

 

Author(s): S. Kamson1, A. Trescot2, M. Brown2, Y. Verbitskaya3

Institute(s):1Spine Institute Northwest, Bothell, 2Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, 3Department of Clinical Research, Spine Institute Northwest, Bothell, WA, USA

 

Background
Minimally invasive surgery (MIS) has become increasing popular in managing intractable low back pain and radiculopathy due to degenerative disc disease. In the literature, traditional open lumbar surgery has been done in the hospital setting with reports that patients could need days of post operative care. In comparison, MIS approach done in an Ambulatory Surgery Center (ASC) might provide potential advantages over traditional open surgery such as reduced surgery-related pain, lower comprehensive morbidity and zero hospital stay.

Method
In an ongoing study at the Spine Institute NW, from August 2010 until September 2011, we reviewed 38 patients that had full endoscopic lumbar MIS performed in an ASC. We collected data on age, mechanism of injury, time from injury to operation, estimated blood loss, peri-operative complications, operative/recovery time, narcotic use, patient satisfaction and return to work.

Results
To date, we have found no added risks to performing spine MIS technique in ASC.
Essentially no complications were found within 72 hours of discharge, and average recovery room stay was less than 2 hours. Most patients reported good satisfaction, decreased medication use and would recommend same surgery.

Conclusion
Full endoscopic lumbar MIS performed in ASC is a safe procedure with satisfactory outcomes for patients and compares favorably with traditional open microdiscectomy in hospital setting.

 

Author Keywords:

minimally invasive lumbar surgery * open spine surgery * free standing center outpatient surgery * micro-discectomy * outpatient center in Washington state

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Conference: 6th World Congress – World Institute of Pain · Abstract: A-323-0010-01048 · Status: Accepted

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