Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Neurosurgery

Objective: the aim of this work is to evaluate the outcomes of lumbar disc fragmentectomy in patients with lumbar disc herniation in terms of pain relief, early recovery, hospital stay, recurrence rate, and complications (as discitis, post operative back pain and Persistent radicular pain). methods: this is Case series study, where patients having lumbar disc herniation were evaluated preoperatively both clinically and radiologically patients were operated by microfragmentectomy, and followed up conducted for 3 months for recurrence rate and outcomes. results: we operated twenty cases in this study, with microfragmentectomy, the mean age of patients was 34.75 years, there were 15 males and 5 females, postoperative pain improvement was better in microfragmentectomy.Hospital stay, blood loss, and postoperative complications were less in microfragmentectomy. conclusion: Microfragmentectomy allows good surgical visualization and is less traumatic to the involved tissues.The results of this study indicated that microfragmentectomy reduces hospitalization time,improves the overall surgery related outcome, microfragmentectomy allows patients earlier return to work and normal life with less reliance on postoperative narcotic analgesic agents

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