If the Microdiscectomy scar's adhesion causes the severe pain ?

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murr3

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You need to find good and educated doctor. Most current neurosurgeons work on principles of minimally invasive surgery.

Let me know if you need anything.
 
Thanks! I just want to know if a neurosurgeon told me he/she can do a surgery which need to open an one inch incision, if that mean it is Microdiscectomy not endorscopic spine surgery? if endorscopic surgery is
as same as minimally invasive surgery?
I checked each doctor's report who I will see, but usally the report doesn't
mention about what kind of surgery the doctor can do, only tell you which area the doctor is familiar with. I have no way to know the detile until I see him/her.

Thanks again!
 
Yes, MIED cannot get you adhessions, my neurosurgeon told me that is one of the reason minivally invasive approach is invented. He is qualified enought so I trust him.

@brendaks1
You are so wrong. With "invasive" surgeries like open discectomy (interlaminectomy, etc), scar tissue and ad hessions problem is VERY often.

@ibake&pray
Yes, its called something like anti ad-hessions gel.

RegarRAB!
 
I very want to know this question, because some people told me recently. the surgery itself basically will very greatly possibly succeed, but sometimes the surgery scar's adhesion can create the serious ache, will surpass your original pain. This opinion gave to me the tremendous pressure. Since I will face to do surgery. I knew every surgery has scar and it will cause pain if it happended adhesions, but the question is how big the chance and how serious? The surgery I mean is Microdiscectomy not fusion.
Has any statistical data to be able to explain this question?

Thanks!
 
I am not sure if this will help you or not, but I had 2 microdiscectomies (not sure on the spelling) and I had about a 1" scar each time. I have been told I do not have much scar tissue, but I am in more pain now after my surgery...from 2 years ago! All my scans are clean, but something is still causing my pain. My doctors tell me it is permanent nerve damage from the nerves being compressed so badly.

Anyway, I hope you get your questions answered. I know how confusing this all can be and how fustrating it is not to be able to get your questions answered.

JRABun
 
It depenRAB on the procedure. If he performs fusion he can make up to 5 small incisions.

I underwent minimally invasive discectomy and got only 1 small incision.

Microdiscectomy = open surgery. Many possible complications. Micro-surgeries are not performed any more. Golden rule everywhere in the world is to educate Neurosurgeons to use minimally-invasive procedures. Of course, there are some RARE cases when open surgery is only solution.

Minimally-invasive means minimal tissue, blood and muscle loss and damage. Minimally invasive also uses microscope in the instruments.
 
If MIED has no incision and only drills several holes? if I check a doctor's web information, it just said his/her speciality is " minivally invasive surgery" ,What does that mean ? MIED or not really?
I quote one opinion about MIED in a 2008 article, it said Endoscopic procedures usally are
less effective than standard diskectomy or microdiskectomy and still in the developmental
stage because,
The surgeon is unable to see the nerve root because the small incision provides a limited range of vision. That means your surgeon may not be able to tell if the correct part of the
disk has been removed or be able to identify and remove disk fragments that have entered
the spinal canal.
I don't know if this opinion is still correct or is obsolete.
 
Miscrodiscectomy is NOT an minimally invasive procedure.

Endoscopic discectomy IS minimally invasive procedure.
 
Yes, it can cause your pain.

If you had microdiscectomy you can get them, if you had minimally inavasive endoscopic discectomy you can't.

You sure you had microdiscectomy?
 
Keano16,

I like to know if your neurosurgeon did endorscopic spine surgery to you?
I am collecting some information about that and want to know if it is really better than Microdiscectomy in somewhere.

Thanks!
 
jusun,
I am sorry to heard your experiences . Did you try Spinal cord stimulator?
when you replied to me about SCS, I felt you are vert familiar with it , I think you can try because you have pain but couldn't find the reason.
Thanks!
 
Keano16,
I am not sure if the following message belongs to you, maybe not.
2007. - interlaminectomy L3-L4., ablatio disci i.v., foraminotomy L4
2009. - endoscopic discectomy L3-L4, decompression L4
Currently waiting for 3rd surgery, under medications daily


I think you may satisfied your endoscopy surgery. I don't know if I can find
a doctor who can do Microdiscectomy and endoscopic both, He/she may
let me to choose one or tell me which one fits me. but I found most of doctor
just like to do one kind of surgery, so I have no chance to listen what happen if I take another one.

THanks!
 
efang,

Any back surgery can cause scar tissue to form, but it only happens to the extent that it causes problems in a very small percent of cases, although I don't know what that percent is.

It did happen to me from a decompression surgery I had last summer and was discovered during a recent fusion surgery. The surgeon said I had a large bundle of scar tissue wrapped around the nerve roots that he had to cut away. My scar tissue didn't show up on MRI's nor on a myelogram.

Again, it doesn't happen that often and it's not something to lose sleep over. If your symptoms aren't resolved by 6 months post-op, it's something to ask your doctor about.

Warm wishes!
 
Keano16,

Thanks! my problem is the one good doctor I am going to see ( My Pain Management doctor recommended him, said he is Top one in our area) doesn't do MISS. I have to search to find other , but sometime doctor or doctor's assistant doesn't want to tell patient about surgery's detail.

Thanks!
 
Keno16,
I have one more question to you, When your neurosurgeon did “minimally invasive endorscopic surgery” to you, did he/she still made one incision or made one or two small holes? I am sorry to ask so detail question because I read one article said : "Microdiscectomy using endorscopic or microscope both". This made me confuse. If it is correct, what is the different between MIES and Microdiscectomy? “minimally invasive” just means the incision is pretty small . I think only one big different with these two surgeries is that MIES uses endorscopic and The Microdiscectomy uses microscope -. So I think surgeon make one incision or several small holes can be confirmed which tool he used. but I found it is difficult to make sure this before surgery unless the surgeon likes
to tell you which one he will do.

Thanks!
 
There is now something that they can give you to help prevent scar tissue from forming. My DIL just had a C-section and they gave her a shot for it right after she delivered....
 
yes, if you have nerve damage (while the spinal cord is being compressed, presurgery especially for a long time...that part of the spinal cord has lost blood supply and oxygen. That is what causes the nerve damage. The pain will never go away. It won't get worse...only thing it can be....did the doc say there was nerve damage, " myelopathy?"
 
My husband knows he has myelopathy...nerver damage caused by the bone spurs digging in his spinal cord. That cause the blood supply to get cut off and oxygen. So, that portion of the cord will be either damaged or dead. He has a few spots like that. And no...the pain never gets better.

He had the lower lurabar done a couple of months ago...the neck was done first the fussion and lamanectomy. The lower lurabar after two months post surgery get worse as the days go by. They looked at his mri today. Told him there is significant scar tissue. Its causing the symptoms to get worse. We asked...can they remove the scar tissue...he said..." no " maybe a fussion my help give space...maybe. So, now what? I know scar tissue can be a huge problem...especially with pain. Anyone have any ideas or expeirence with building scar tissue? The doc said...scar tissue itself..creates more scar tissue. His weakness, pain, nurabness has increased dramatically since his surgery....we're desperate for ideas...has anyone had any luck...with anything for scar tissue that can't be removed? I could tell by the look on the doctors face....its not good. This doc was the workers comp doc. We see his surgeon next week for him to go into detail about the mri. But, the workers comp doc...wasn't looking happy. He even was trying to encourage my husband to take stronger pain meRAB...he won't (anyway, yet) but you could tell the doc was trying to tell him..." dude, you're going to need this" and you know docs never encourage pain meRAB...or willingly want to increase the dose, unless you ask with a good excuse. My hubby never even brought them up because he doesnt take them. The doc did...he wanted him to wear a full time patch so he would have the constant relief. So, i think my poor hubby is in for it....its already painful enough for him...i can't imagine it getting worse. So, if anyone has any hope out there...please let us know of what we can try here. Thanks
 
Keano16,
if you mean microdiscectomy will get more chance to have scar's adhesion than minimally inavasive endoscopic discectomy ( I call it MIED)? The problem is when I asked the surgeons I saw what kind of surgery he will do it to me? I found they don't like to tell me exactly, just said " micro surgery", I asked
" do you use endoscopic to do surgery or not? " the answer is " we have
a lot of new skills" I don't know why they don't want the patient to know ?
but it is said that MIED is more safe but get less effect than Microdiscectomy .

Thanks!
 
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