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Microsurgical Discectomy Abroad
Microsurgical Discectomy Abroad Cost Package:
{The surgery cost covers all medical & logistics costs at the destination}
International Destinations: India, Jordan, Mexico, South Korea, Turkey
Microsurgical Discectomy is a commonly used procedure for inter-vertebral
disc herniation and spinal stenosis (which occurs due to calcium deposits
on the spinal canal, often referred to as, osteophytes). The process is also
called as the open operation, as it allows the surgeon to actually view the
herniated disc through small incisions in the skin.
This procedure is considered to be more reliable compared to the closed procedures
(i.e. percutaneous procedures), as the surgeon can directly view the disc
fragments. After moving the muscles of the back and excising a bit of bone
tissue, the surgeon can directly look into the spinal canal. The procedure
involves the use of an operating microscope which allows magnification of
the degenerated spinal disc material and further allows greater mobility to
the operating surgeon. This allows quicker post operative healing of the wound
and hastens recovery.
Clinical evidence suggests that the surgical outcomes of microsurgical discectomy
are superior in most areas when compared to percutaneous techniques and other
endoscopic techniques (i.e. transforaminal endoscopic discectomy). The microsurgical
discectomy procedure mandates the need for a well qualified medical team and
latest medical equipment technology to ensure utmost success. There are few
international medical tourism destinations which meet the requisites for providing
international and good quality of medical care. These destinations include
India, South Korea, Turkey, Jordan and Mexico.
Why Microsurgical discectomy?
The underlying principle of microsurgical discectomy involves the use of
microscopes or endoscopic visualization tools, through a small incision in
the skin. This minimal invasive surgery has several advantages over the conventional
open surgery, which include,
- Reduced frequency of surgical and post operative complications
- Significant reduction in blood loss that may occur during the procedure
- As the procedure is less invasive (i.e. the inter-vertebral disc herniation
is excised without disturbing the surrounding muscles and ligaments) compared
to the conventional procedure, it requires lesser post operative narcotic
pain medication
- There is a considerable reduction in the hospitalization stay and allows
the patient to resume his daily routine activities within a few days after
the procedure.
In comparison to closed procedures with percutaneous approach, microsurgical
discectomy allows greater visualization of the herniated inter-vertebral disc
material reducing the chances and need for repeating the procedure.
Conservative Care before Microsurgical discectomy
- Prior to deciding the surgical intervention on the patient, it is crucial
that conservative treatment is tried. Conservative care includes physical
therapy with exercises for pelvic stabilization. Occasionally traction may
be required
- Some patients may require steroidal epidural injections, directly into
the spinal canal, to alleviate the irritation caused due to inflamed nerve
roots.
- Usually the conservative programme is tried for about four to six weeks
before considering surgery.
- In cases of severe disc herniation, causing weakness, pain and numbness,
it is recommended to conduct the surgery immediately as conservative care
is not expected to provide relief.
Procedure of Microsurgical discectomy:
- The procedure involves the use of an operating microscope with 300 mm
long objective. The operating microscope has lenses which are arranged in
such a way, that it allows the surgeon to see with both the eyes under excellent
lighting, into deep narrow openings (i.e. stereoscopic viewing). The microscope
is placed on a flexible stand allowing the surgeon greater mobility
- Patients are placed in the lateral decubitus position, so that the affected
side is up. The surgeon is seated while conducting the procedure. X rays
are taken prior to the procedure to confirm the correct inter vertebral
disc space to be operated upon.
- The procedure takes approximately sixty minutes and is conducted under
general anesthesia.
- A 15 to 25 mm incision is made in the midline of the lower back. Following
the incision, the back muscles are moved out rather than cut.
- Next the surgeon enters the spine after removing a layer of membrane over
the nerve root (ligamentum flavum).
- A small portion of the facet joint bone is removed using a high speed
drill to drill a small hole in the bone.
- The nerve root is gently moved and the par t of the inter-vertebral disc
material pressuring on the spinal cord is dissected. Subsequently, the wound
is surgically closed and covered with bandages to promote healing
Post operative care after microsurgical discectomy
- The patient is mobilized within 24 hours after the surgery with a simple
exercise programme
- The patient is expected to take oral antibiotics to ensure protection
against infections around the surgical wound site.
- About one week after the microsurgical discectomy the patient can resume
low stress routine activities. The physical therapist will train the patient
with other exercises to improve the general spine condition and enhance
lower back stabilization.
- Concurrently, the patient is advised to initiate brisk walking for 20
to 30 minutes each day along with swimming and / or cycling program.
- It will take about two to three months before the patient fully recovers
and indulges in vigorous sport activities like tennis and skiing.
Complications of microsurgical discectomy:
- The complications associated with microsurgical discectomy are lower than
conventional procedures and approximately 95% of patients obtain good to
excellent pain relief (depending upon the medical condition and age of the
patient). The pain relief is almost instantaneous after the procedure
- Common complications include dural tears, nerve root injuries or inflammation
of the inter vertebral disc material ( discitis), which occurs is less than
1.5% of the patients
- Long term complications include need for a re-surgery at the same level
which occurs in about 5% of the patients
Microsurgical Discectomy in India:
India has registered significant growth in the past decade, which has brought
about significant improvement in its physical infrastructure like roads, railways,
airports, hotels, etc. India is a huge country with several JCI accredited
hospitals located across major metros in the country namely Mumbai, Delhi,
and Chennai. Medical tourists can avail of benefits of the low cost, international
quality of medical care coupled with an opportunity to tour one of the largest
countries in the world. With Indian traditional systems of medicine, namely
Ayurveda, gaining increasing recognition internationally, surgical care may
be coupled with alternative medical care to promote healing and improve the
outcomes of surgery.
Microsurgical Discectomy in Mexico:
It is said that the Mexican border with the USA is first medical
tourism destinations based on the modern concepts of medical care. It
is also one of the busiest medical tourism destinations. Several hospitals
in Mexico have gained accreditation as per the American model to reinstate
its commitment to provide quality of care at lower costs. Surgical and medical
care in Mexico would cost as little as 25% to 50% of the cost in equivalent
setups in the United States.
Microsurgical Discectomy in Turkey:
Turkey has several private healthcare institutes of international repute,
trained and qualified team of medical professionals, providing medical and
surgical care at costs substantially lower than those in the United States.
With an annual inflow of over 200,000 medical tourists, mostly from Europe
and Middle East, Turkey is emerging as one of the most preferred and best
medical tourism destination in the West Asian Region.
Microsurgical Discectomy in Jordan:
Realizing the country's immense potential and a robust medical care infrastructure,
the World Bank has ranked Jordan as the best medical tourism destination in
the region. The country has catered to over 250,000 medical tourists in 2007
and these figures are growing exponentially. Furthermore, Jordan provides
the same quality of medical care as available in the United States at a mere
one forth the cost, making it increasingly attractive for US citizens seeking
low cost, good quality of care abroad.
Microsurgical Discectomy in South Korea:
In a span of few years, South Korea has treated several thousand medical
tourists from international destinations. Though its distant location, limits,
the volume of American patients, its positive features like high quality of
equipments incorporating the use of latest technological innovations, internationally
trained and qualified medical teams and overall low cost of medical care have
continued to attract American patients needing complex surgical treatment.
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Medical Tourism Corporation facilitates affordable Microsurgical
Discectomy Abroad at many international locations including Mexico, India
& Spain. Fill out the free estimate request form for a free quote &
more information.
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