A Comparative Study of The Outcomes of Lumbar Disc Herniation Treated by Percutaneous Endoscopic Discectomy And Microdiscectomy: A Randomised Controlled Trial

Lumbar disc herniation is a common spinal disorder causing pain,disability and significant health care burden. The gold standard surgical procedure for treating lumbar disc herniations is microdiscectomy (MD).

In addition to the potential for surgical site infection, there is still worry about the risks of injury to muscles, including the multifidus, and excessive articular facet resection during laminectomy, which can result in instability, the development of widespread epidural fibrosis, and the persistence of radiated pain. An approach that is less intrusive is endoscopic discectomy (ED). There were no appreciable changes in post-operative pain and function between the groups in a few prospective randomised clinical trials comparing standard MD with ED. On the other hand, ED led to decreased rates of pain and complications, shorter hospital stays, less bleeding, and fewer inflammatory serum markers. We felt that this type of study was required because there weren’t many published prospective randomised clinical trials.  Comparing standard MD and ED in terms of symptom alleviation over a 06-month follow-up is the primary goal of this study.