Selective Endoscopic Discectomy (SED)
About
Selective endoscopic discectomy (SED) is a minimally invasive surgical procedure used to remove part of an intervertebral disc in the spine to alleviate symptoms caused by disc herniation or similar conditions. This procedure utilizes an endoscope, a thin tube with a camera, allowing surgeons to visualize and access the damaged area of the disc through small incisions, resulting in a less traumatic procedure and faster recovery.
Candidate
Candidates for selective endoscopic discectomy are typically individuals experiencing symptoms of disc herniation, such as back pain, tingling, weakness, or loss of sensation in the limbs. These symptoms can be caused by pressure on nerve structures resulting from disc protrusion.
Preparation
Prior to the treatment, patients will typically undergo a series of tests and examinations to confirm the diagnosis of disc herniation and assess their overall health status. Physicians may recommend specific tests, such as magnetic resonance imaging or X-rays, and patients may receive guidance on dietary restrictions, medications, or activities to avoid before the treatment.
Treatment
During selective endoscopic discectomy, surgeons use the endoscope to access the damaged part of the disc and remove it. This procedure typically involves small incisions and minimal trauma to surrounding tissue, contributing to the patient's faster recovery.
Result
The results of selective endoscopic discectomy usually include a reduction in symptoms of disc herniation, such as pain, tingling, or weakness in the limbs. The goal is to reduce the pressure on nerve structures and improve the functionality of the spine, enabling patients to return to normal activities without significant limitations.
Precautions
It’s important to emphasize that the endoscopic approach to the treatment of spinal diseases removes the cause of pain, i.e. the pressure on the neural structures, while preserving the remaining healthy part of the disc. This approach to spinal treatment minimizes all the negative aspects of classical treatment, such as permanent painful sensations, neurological deficits, and scar changes.

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