If the lumbar hernia is surgical, what kind of consequences
might the patient face if he is afraid of surgery or if he does not have surgery due to the words of the people around him? The way in which patients with lumbar hernia apply to us is different.
1. The patient is in a very distressed state. He has difficulty in moving. Can’t walk. He feels that his leg is becoming lifeless. Goes to urinate frequently
. It doesn’t even allow inspection. The onset of the complaints is short. There is compression in the spinal cord and nerve going to the leg of this patient
. This pressure should definitely be relieved in this type of patient. If it is not eliminated, the risk of foot drop, loss of sexual functions
, and urinary incontinence may develop. This patient cannot be put at risk.
2.Patient complains of low back discomfort for years. He has pain that hits his legs or one leg. He applied to Ph.D.
. It was stated that he had a herniated disc, and that he needed surgery. The patient did not have surgery. His complaints increased and he applied
. In the examination performed on the patient, there was a loss of strength. It was determined that he had an operating hernia again. What this patient should not forget
is that the time between recovery and illness periods will gradually shorten and the duration of the diseased period will gradually increase
. These patients will experience progressive loss of strength.
They will feel the feeling of throwing their feet into the void during walking, narrowing of the road, walking distance, and a gradual decrease in sexual functions. These patients are the most common patient group in Neurosurgery. But what these patients need to know is; The longer the time between the diagnosis and the operation of the surgery, the less the benefit from the surgery will be.
Because; lumbar hernia is due to the fact that it has done the necessary damage to the nerve and spinal cord and has had an effect on the patient’s other spines and ligaments. You may hear that I had a herniated disc surgery, but my numbness did not go away, I had a herniated disc surgery, but it seems like I cannot move my foot. The reason for this situation is actually the patient himself. It is extremely wrong to attribute this situation or situations to the surgery performed.
Patient 3 has had low back pain for years. Have recently developed drop foot or feet. He can’t hold his urine. For this patient, the success rate of low back surgery
is 30%. The longer the time between the development of drop foot or feet and the time to see a doctor, the lower the chance of benefiting from the surgery
. The purpose of the surgery is now to give the patient a chance. Even if this period is 3 days or less, the chance of success
is 30%.
Risks in hernia surgery
There is a common belief among the people. Anyone who has an operation for a herniated disc will not improve again? Lumbar hernia surgery is not a definitive solution. It is possible to become paralyzed after herniated disc surgery
. like blood.
The reason for the formation of herniated disc is that people do not take care of themselves. There is no disease in the universe that does not recur. There is no disease that is treated and
not recurring. The most important method of protection from a disease is to do what is necessary to protect from that disease
.
It is essential for a person who has hernia surgery to take care of himself and change his lifestyle. The purpose of performing herniated disc surgery
is in the presence of a problem that can be corrected by surgery. In other words, herniated disc surgery is not possible, let me have the surgery. Only 1-5% of all
hernias are candidates for surgery.
There is a scale in hernia surgery. This balance of scales should be in favor of gain. The gain is the recovery of the nerve from the pressure and the ability of the patient to move in social life by preventing the death of a part or all of it
.
86-91% full health awaits a person who has lumbar hernia surgery. Between 8-10% of all hernias can show recurrence in a certain time period
.
Risks in herniated disc surgery are as follows;
1. Inability to remove the hernia or its insufficient removal (3-5%)
2. Inflammation in the area where the hernia was removed: discitis (1%)
3. Injury of the spinal cord membrane(%) 1-3)
4. Injuries to the nerve going to the leg (1%)
5. Abscess development around the spine (1%)
6. Wound infections or discharges( 1%)
7. Development of adhesions around the hernia evacuated area (5-10%)
8. Death due to bleeding or anesthesia (1-5 in 10,000.)
