microsurgical discectomySurgery of a herniated intervertebral disc without prior exploration of the vertebral body, which reduces the risk of failed disc syndrome as there is minimal excision of bone and epidural fat and minimal nerve root adhesion.
Cauda equina syndrome, herniated lumbar disc, sciatica due to herniated disc.
Less soft-tissue trauma, shorter hospital stay; may be performed as outpatient procedure under local anaesthesia.
86% success rate for relief of leg pain (vs up to 98% for standard laminotomy-discectomy).
Dural tears, nerve root damage, reherniation of same disc, residual disc fragments with persistent pain.