also known as microdiscectomy, lumbar fenestration and sequestrectomy.
Sciatica, lateral recess stenosis, lateral disc prolapse and spinal stenosis
Special preparation for surgery
stop all blood thinning medications including aspirin, warfarin, clopidogrel.
Stop HRT and oral contraceptives. Stop some herbal medicines.
You will be advised when to stop these medications.
Admission to hospital
on day of operation
Prone (lying on front)
Details of operation
An incision of 3-4 cm is made in the back to enable dissection to the spine by elevating the muscle and ligaments from the bone on the side of the pain. A window (fenestration) is made by removing small amounts of bone and ligament to expose the nerve sac (Dura). The Dura is moved to the side to allow a view of the disc fragment. The fragments are removed to allow the nerve to be freed.
Length of surgery
Urinary catheter required
Post-operative drain required
Yes (occasionally long acting antibiotics will be given during the operation so that none may be required after surgery)
Post-operative iv fluids ( drip)
Aspirin post- operatively
Mobilization after surgery
Within 12 hours
Length of stay in hospital
1 – 3 days
Post hospital recovery
2 weeks resting while wound heals followed by
2- 4 weeks increasing daily activities. At week 4-6 post operatively normal activities should be able to be resumed.
Dissolvable glue dressing
Return to driving
Return to work
3-6 weeks depending on nature of work