Microdiskectomy

Steps Involved in IVF:

Procedure Description

Microdiskectomy is a minimally invasive surgical procedure aimed at relieving pressure on spinal nerves caused by herniated or bulging disks. The spine is composed of vertebrae cushioned by disks, which are soft, gel-like structures that prevent friction between the bones and facilitate movement. When these disks become damaged, they can press on the nerves in the spine, resulting in pain, weakness, and discomfort, commonly referred to as sciatica.

The primary goal of microdiskectomy is to remove the portion of the disk that is compressing the nerve, thereby alleviating pain and restoring mobility. Unlike traditional open surgery, microdiskectomy is performed through a small incision using specialized instruments and techniques, minimizing tissue damage and reducing recovery time.

During the procedure, the surgeon makes a small incision near the affected disk. Using a microscope and specialized instruments, they remove the portion of the disk that is impinging on the nerve. This approach allows for a high degree of precision and minimizes the disruption to the surrounding muscles and tissue, making it a preferred option over more invasive spinal surgeries.

Procedure Duration

The microdiskectomy procedure typically takes around 1 to 2 hours, depending on the complexity and location of the herniated disk. The process begins with the patient receiving anesthesia—usually general anesthesia, although sometimes spinal or local anesthesia may be used. Once the anesthesia is administered, the patient is positioned to allow optimal access to the spine.

After the initial incision, the surgeon carefully retracts muscles and tissues to access the affected disk. Using magnification tools like a surgical microscope, the surgeon can precisely identify and remove the disk material causing nerve compression. Because the incision is small, generally less than an inch, the procedure is considered minimally invasive. Surgeons may use advanced equipment, including tubular retractors or endoscopic techniques, to enhance accuracy and reduce trauma to the surrounding structures.

Post-procedure, patients are usually monitored for a few hours and may be discharged on the same day or the following day, depending on their recovery and any potential complications. The recovery period is shorter compared to open spine surgery, with most patients able to resume light activities within 1 to 2 weeks and gradually returning to more strenuous activities over 4 to 6 weeks, although full recovery can vary based on individual health and the extent of the disk damage.

Benefits of Microdiskectomy

  • Minimally Invasive: Requires only a small incision, reducing muscle damage and leading to quicker healing.
  • Quick Pain Relief: Most patients experience rapid relief from nerve pain and sciatica after the procedure.
  • Shorter Recovery Time: Patients often return to normal activities faster than with traditional open surgery.
  • Improved Mobility: Restores functionality and mobility by removing pressure on spinal nerves.
  • Reduced Postoperative Pain: Due to the smaller incision and minimal tissue damage, postoperative discomfort is significantly reduced.

Potential Destinations for Microdiskectomy

1. Thailand

Thailand has gained international recognition for its high-quality healthcare services, modern hospitals, and highly skilled surgeons specializing in spinal procedures. Medical tourists flock to Thailand for affordable rates, luxury hospital amenities, and personalized care.

2. Turkey

Turkey has emerged as a leading destination for spinal surgeries, including microdiskectomy. Many of its healthcare facilities are equipped with the latest technologies, and Turkish surgeons are trained in advanced techniques. The country offers attractive prices, comprehensive rehabilitation packages, and a well-established medical tourism framework.

3. India

India is a top choice for patients seeking affordable microdiskectomy without compromising on quality. The country has a broad network of reputable hospitals with experienced orthopedic and neurosurgeons. The medical facilities in major cities like Mumbai, Delhi, and Chennai offer state-of-the-art technologies and multidisciplinary approaches to patient care.

4. Germany

Renowned for its high standards of healthcare, Germany is a preferred destination for complex spinal procedures, including microdiskectomy. German hospitals are known for their advanced surgical techniques, emphasis on precision, and robust postoperative care. Medical tourists are drawn to Germany for its cutting-edge technology and emphasis on patient safety.

5. Mexico

For North American patients, Mexico provides a nearby, cost-effective option for microdiskectomy. The country has a growing network of private hospitals offering quality spinal care, skilled surgeons, and shorter waiting times compared to some countries. Mexico’s proximity, affordability, and modern healthcare facilities make it a popular choice for patients seeking effective spinal treatments.

Risks & Considerations

  • Infection: Although rare, any surgery carries a risk of infection, which may require further treatment or hospitalization.
  • Nerve Damage: There is a slight risk of accidental injury to nerves during the procedure, which could lead to numbness, weakness, or pain.
  • Recurrent Disk Herniation: There is a possibility that the disk may herniate again or that another nearby disk could develop problems, necessitating additional treatment.
  • Dural Tears: A dural tear, which is a tear in the protective covering of the spinal cord, may occur, potentially leading to cerebrospinal fluid leakage or headaches.
  • Incomplete Pain Relief: While many patients experience substantial relief, some may have persistent symptoms or incomplete pain relief after surgery.

How to Choose the Right Doctor and Hospital

When considering microdiskectomy, it's essential to choose a qualified surgeon with extensive experience in minimally invasive spinal procedures. Look for a board-certified neurosurgeon or orthopedic spine surgeon who specializes in microdiskectomy. Reviewing patient testimonials, seeking referrals, and verifying the surgeon's credentials are key steps in the selection process.

Similarly, the hospital or clinic should have a strong reputation for high-quality care and safety standards. Accreditation by international healthcare quality organizations and a track record in successful spinal surgeries are critical indicators of a reliable facility. It’s important to select a hospital that offers comprehensive care, including preoperative evaluation, advanced surgical techniques, and robust postoperative support to ensure the best possible outcome.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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