Muhammad Farooq, Naeem-ul Haq, Shahid Nawaz, Mumtaz Ali, Muhammad Nawaz, Abdal Wasim Khan.
Comparative Analysis of Percutaneous Full Endoscopic Discectomy and Microdiscectomy in the Management of Lumbar Disc Herniation.
Pak J Neuro Surg Nov ;28(3):332-9.

Objective:  Percutaneous Full Endoscopic Discectomy and Microdiscectomy are two of the least invasive surgical procedures used in the management of lumber disc herniation. This study aimed to evaluate the clinical outcomes of percutaneous full endoscopic discectomy and microdiscectomy in the management of lumber disc herniation. Materials and Methods:  This retrospective study spanned two years. Patients with the diagnosis of lumbar disc herniation confirmed by clinical symptoms and imaging studies undergoing PFED or MD were included. The primary outcome measures included pain relief, assessed using the Visual Analog Scale (VAS), and functional improvement, and measured using the Oswestry Disability Index (ODI). Secondary outcome measures included the occurrence of surgical complications and length of hospital stay. Results:  This retrospective analysis included 480 participants in the study, with 247 patients undergoing Percutaneous Full Endoscopic Discectomy (PFED) and 233 patients undergoing Microdiscectomy (MD). In the PFED group, patients experienced an average mean reduction in leg pain score of 6.97 ±1.96 on the Visual Analog Scale (VAS) as compared to microdiscectomy (4.95 ± 2.45). Conclusion:  Our study concluded that both percutaneous full endoscopic discectomy and microdiscectomy are safe and efficient surgical techniques in the management of lumber disc herniation. However, PELD showed several possible benefits, such as quicker recovery and earlier LBP reductions, improvement in bowel and bladder symptoms along earlier return to work.

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