Microendoscopic lumbar discectomy with general versus local anesthesia: A systematic review and meta-analysis.

ABSTRACT:

Background

While general anesthesia (GA) is the most commonly used anesthetic method during lumbar microendoscopic discectomy (MED), local ± epidural anesthesia (LA) has been gaining popularity as an alternate method. Theoretical advantages of LA include reduced morbidity of anesthesia and improved surgeon-patient communication facilitating less nerve root manipulation and yielding improved surgical outcomes. The objective of this systematic review is to examine the impact of anesthesia type on patient reported outcomes (PROs) and complications with MED.

Methods

A systematic review and meta-analysis of the available literature examining MED performed under GA or LA was performed. The PubMed, EMBASE and SCOPUS databases were searched from inception to August 16, 2021, utilizi

SUBMITTER: Mooney J 

PROVIDER: S-EPMC9194459 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature