Endoscopic Contralateral Transaxillary Discectomy for Recurrent Disc Herniation.

ABSTRACT: This video aims to describe an endoscopic surgical approach for accessing difficult to reach pathology such as disc herniations after previous surgery. The relatively small size of endoscopic instruments facilitates significant freedom of movement inside the spinal canal. The authors have experience with interlaminar approaches for contralateral pathology such as disc herniations, recurrent disc herniations, spinal stenosis, and facet cysts. The advantages of starting from the opposite side of the canal in a revision situation include the ability to establish a clear plane between the dura and the borders of the canal and visualize the disc from a different angle than the index operation. Contralateral approaches to residual or recurrent herniations can be performed with an "over the top"

SUBMITTER: Gollogly S 

PROVIDER: S-EPMC11744554 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature