(Lamina Removal; Removal of the Lamina)
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Reasons for Procedure
- Pain in an arm or leg
- Blood clots
- Damage to nerves, resulting in pain, numbness, tingling, or paralysis
- Problems related to anesthesia
- Another medical condition, particularly heart or lung problems
- Increased age
What to Expect
Prior to Procedure
- Physical exam
- X-ray —to take a picture of the bones of the backbone
- MRI scan —to take pictures of the spinal cord to assess any damage
- Myelogram —to show the structure of the spinal cord to see if there is pressure on the cord or the nerves
- CT scan —to take pictures of the backbone
- If you are overweight, try to lose weight . This will decrease the amount of stress on your back.
- Talk to you doctor about your medications. You may need to stop taking aspirin or other anti-inflammatory drugs for one week before surgery. You may also need to stop taking blood thinners.
- Arrange for a ride home and for help at home.
- Eat a light meal the night before. Avoid eating or drinking anything after midnight.
Description of the Procedure
|Laparoscopic Removal of Disc Tissue|
|Copyright © Nucleus Medical Media, Inc.|
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- You will have to walk with assistance the evening after surgery or the next day.
- You may need to wear a back or neck brace.
- You may need to wear special socks or boots. These will help to prevent blood clots.
- Be sure to follow your doctor's instructions .
- Keep the incision area clean and dry.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Exercise your legs while in bed. This is to improve circulation and decrease the risk of blood clots.
- Do not lift anything heavy.
- Work with a physical therapist. You will slowly progress from walking to other low-impact activities, like swimming.
- Only take medication advised by your doctor. Ask your doctor before taking any over-the-counter medication.
- Have the stitches or staples removed in two weeks.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
- Pain that you cannot control with the medicines you have been given
- Cough, shortness of breath, chest pain
- Trouble urinating or having a bowel movement
- New numbness or weakness in the hips, groin, or legs
- Joint pain, fatigue, stiffness, rash, or other new symptoms
American Academy of Family Physicians http://familydoctor.org
National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov
College of Family Physicians of Canada http://www.cfpc.ca
Health Canada http://www.hc-sc.gc.ca
Allen RT, Garfin SR. The economics of minimally invasive spine surgery: the value perspective. Spine. 2010 Dec 15;35(26 Suppl).:S375-82.
Djurasovic M, Glassman SD, et al. Contemporary management of symptomatic lumbar spinal stenosis. Orthop Clin North Am. 2010 Apr;41(2):183-191.
Herniated disc. American Association of Neurological Surgeons website. Available at: http://www.aans.org/Patient%20Information/Conditions%20and%20Treatments/Herniated%20Disc.aspx. Updated December 2011. Accessed November 25, 2013.
Lindström D, Azodi O, et al. Effects of a Perioperative Smoking Cessation Intervention on Postoperative Complications: A Randomized Trial. Ann Surg. 2008 Nov;248(5):739-745.
Pain: hope through research. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/chronic%5Fpain/detail%5Fchronic%5Fpain.htm#Treatment. Updated August 30, 2013. Accessed November 25, 2013.
- Reviewer: Michael Woods, MD
- Review Date: 11/2013 -
- Update Date: 02/25/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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