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Biportal endoscopic surgery for lumbar spine herniated discs: a narrative review of its clinical application and outcomes

Awuah, Wireko A., Adebusoye, Favour T., Alshareefy, Yasir, Cheng Ng, Jyi, Tomas Ferreira, Amanda L., Abdus Salam, Amanda L., Shankhaneel Ghosh, Amanda L., Weng Yee, Amanda L., Mazzoleni, Adele, Wellington, Jack, Toufik Abdul-Rahman, Ebtesam and Abdulla, Ebtesam 2023. Biportal endoscopic surgery for lumbar spine herniated discs: a narrative review of its clinical application and outcomes. Annals of Medicine and Surgery 85 (8) , pp. 3965-3973. 10.1097/MS9.0000000000001053

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Abstract

Lumbar disk herniation (LDH) is a common condition affecting millions worldwide. The management of LDH has evolved over the years, with the development of newer surgical techniques that aim to provide better outcomes with minimal invasiveness. One promising emerging technique is biportal endoscopic spinal surgery (BESS), which utilizes specialized endoscopic equipment to treat LDH through two small incisions. This review aims to assess the effectiveness of BESS as a management option for LDH by analyzing the available literature on surgical outcomes and potential complications associated with the technique. Our review shows that BESS is associated with favorable postoperative results as judged by clinical scoring systems, such as visual analog scale, Oswestry disability index, and MacNab criteria. BESS has several advantages over traditional open surgery, including minimized blood loss, a shorter duration of hospitalization, and an expedited healing process. However, the technique has limitations, such as a steep learning curve and practical challenges for surgeons. Our review offers recommendations for the optimal use of BESS in clinical practice, and provides a foundation for future research and development in this field, aiming to improve patient outcomes and quality of life.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Medicine
Publisher: Elsevier
ISSN: 2049-0801
Date of First Compliant Deposit: 26 April 2024
Date of Acceptance: 1 July 2023
Last Modified: 26 Apr 2024 13:54
URI: https://orca.cardiff.ac.uk/id/eprint/167955

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