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Characteristics of Patients Underwent Percutaneous Endoscopic Lumbar Discectomy In Medan

Volume: 77  ,  Issue: 1 , May    Published Date: 25 May 2021
Publisher Name: IJRP
Views: 51  ,  Download: 23 , Pages: 43 - 47    
DOI: 10.47119/IJRP100771520211936

Authors

# Author Name
1 Rudy Tanudin
2 Pranajaya Dharma Kadar
3 Benny

Abstract

Objective Percutaneous Endoscopic Lumbar Discectomy (PELD) is a modern minimally invasive surgical technique used mainly to remove lumbar disc and has several advantages over open discectomy or microdiscectomy techniques. The purpose of this research is to identifythe characterictics of Herniated Nucleus Pulposus (HNP) patients treated with PELD.   Material dan Methods This is a retrospective descriptive research with a cross sectional design held in Medan, Indonesia from June 2019 up until December 2020. Sample was obtained using total sampling method from the medical records of patients diagnosed with HNP undergoing PELD surgery. The information obtained would include the patient’s demographic information, length of stay, intraoperative bleeding, duration of operation, HNP type, and HNP location. The data obtained would then be analized and presented through a table and description.   Result A total of 7 patients was obtained, 1 male (14.3%) and 6 female (85.7%) The sample’s mean age is 47.86 ± 17.325 years old with a range between 20 and 68 years old, the median age is 55 years old. The sample’s mean body weight is 61.43 ± 3.952 kg, mean operation duration is 2.29 ± 1.254 hours, length of stay is 3.00 ± 0.816 days, dan intraoperative bleeding is 328.57 ± 111.270 ml. The type of HNP observed is buldging (72%), extruded (14%), and prolapsed (14%). Most HNP occurs at L5-S1 (50%), while at L4-L5 and L3-4 occurrence is 33% and 17% respectively. Conclusion Through the data obtained, it can be concluded that PELD is a minimally invasive surgery, efective for patients of all ages which causes minimal intraoperative bleeding and has shorter operation and post-operative hospital length of stay compared to other surgical methods. PELD can and should be acknowledged to be a good surgical intervention for HNP patients.

Keywords

  • PELD
  • HNP
  • Minimally Invasive
  • vertebrae