DEGREE OF SATISFACTION WITH THE ENDOSCOPIC TREATMENT OF LUMBAR DISC HERNIATION

AUTOR(ES)

Gatelli, Cristiano

FONTE

Coluna/Columna

DATA DE PUBLICAÇÃO

2019-03

RESUMO

RESUMO Objetivo: Avaliar o grau de satisfação dos pacientes e as complicações após cirurgia endoscópica para tratamento da hérnia discal lombar. Método: Avaliados, retrospectivamente, 94 pacientes com hérnia discal lombar, submetidos a discectomia lombar endoscópica, através do Questionário MacNab e por meio de quatro perguntas subjetivas relacionadas ao procedimento. Resultados: Aproximadamente 82% dos pacientes tiveram excelentes e bons resultados e 91,4% relataram estar satisfeitos com o resultado cirúrgico obtido com a endoscopia. A taxa de complicações com o método foi de 9,5%, sendo a recidiva da hérnia discal a complicação mais comum (5,4% dos casos). Conclusão: A cirurgia endoscópica se mostrou um método eficaz, seguro e uma alternativa à cirurgia aberta convencional. Nível de evidência; III. Estudos terapêuticos – Investigação dos resultados do tratamento.ABSTRACT Objective: To evaluate the degree of patient satisfaction and complications after endoscopic surgery for the treatment of lumbar disc herniation. Methods: We retrospectively evaluated 94 patients with lumbar disc herniation undergoing endoscopic lumbar discectomy through the MacNab questionnaire and four subjective questions related to the procedure. Results: Approximately 82% of the patients had good and excellent results, and 91.4% reported being satisfied with the surgical result obtained with endoscopy. The rate of complications with the method was 9.5%, with recurrent disc herniation being the most common complication (5.4% of cases). Conclusions: Endoscopic surgery proved to be an effective and safe method, and an alternative to conventional open surgery. Level of evidence; III. Therapeutic studies - Investigation of treatment results.

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