Abstract

Objectives: Various types of minimally invasive techniques have been developed for the treatment of lumbar disc herniation. The original laminectomy was rened into microdiscectomy and now into tubular discectomy and endoscopic discectomy. This study aimed to evaluate the immediate postoperative to 6 months outcomes of patients undergoing tubular discectomy using a simple tubular dilator system and 2.5x binocular loupe. 60 patients were operated Materials and Methods: with tubular discectomy at PDU Hospital, Rajkot which is a tertiary level center between June 2021 to December 2021. They were studied for the following data: Baseline characteristics, Visual analog scale (VAS) for leg pain and post operative back pain, Modied Oswestry Disability Index (ODI) scores, length of hospital stay, time taken to return to work, duration of surgery, intra- and post-operative complications, and reoperation rates. The VAS Results: score for leg pain, post-operative back pain, and Modied ODI scores showed improvement during the 6 Months after Surgery. Mean ODI score improved from 64.18 to 24.04 at 1 month and 19.38 at 6 months follow-up and Mean VAS score improved from 8 to 3.23 at 1 month and 2.72 at 6 months follow up .Time taken to return to work and mean hospital stay was shorter. The mean duration of surgery was shorter with less blood loss. This study revealed that the rate of recovery is signicantly faster Conclusion: for tubular discectomy , Shorter hospital stay, less blood loss with fewer complications.

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