Lumbar Disc Hernia (Discectomy) Operation

Lumbar disc herniation is a condition that can significantly disrupt daily life, often resulting in chronic back pain, leg discomfort, and limited mobility. The herniated disc causes nerve compression, leading to symptoms such as numbness, weakness, and pain that can be debilitating. When conservative treatments like physical therapy, medication, and lifestyle changes fail to relieve these symptoms, surgery may be the most effective option. Discectomy, a surgical procedure to remove the herniated portion of a disc, is commonly performed to alleviate pressure on the nerves and restore normal function.

At Prospero Medical, we collaborate with leading hospitals and experienced surgeons in Turkey to offer high-quality lumbar disc hernia surgery. Our team is committed to providing personalized care, ensuring each patient receives the right treatment for their condition. Turkey has become a sought-after destination for medical tourism, offering state-of-the-art facilities, advanced surgical techniques, and expert specialists who perform discectomy with precision.

A lumbar disc hernia occurs when the disc, which acts as a cushion between the vertebrae in the spine, becomes displaced, ruptured, or worn out. This displacement can put pressure on the spinal nerves, causing pain, numbness, muscle weakness, and even loss of movement. The purpose of a discectomy is to surgically remove the portion of the disc that is pressing on the nerves, thereby alleviating symptoms and restoring function.

Discectomy can be performed using different techniques, including:

• Open Discectomy: A traditional surgical method with a larger incision.
• Endoscopic Discectomy (Closed Method): A minimally invasive method using small incisions.
• Microdiscectomy: A modern approach that utilizes specialized instruments and high magnification to precisely remove the herniated tissue.

Turkey offers all these surgical options, providing patients with a variety of choices depending on their condition and preferences.

Not everyone with lumbar disc herniation requires surgery. Many individuals benefit from non-surgical treatments such as medication, physical therapy, and lifestyle changes. However, surgery may be recommended for candidates who meet the following criteria:

• Failed Non-Surgical Treatments: When pain and other symptoms persist despite medication and physical therapy.
• Severe Pain or Disability: When pain significantly limits the ability to perform daily activities.
• Neurological Symptoms: Such as numbness, weakness, or loss of bladder or bowel control.
• Progressive Disability: Difficulty walking, loss of balance, or worsening symptoms that affect quality of life.
• Large or Complicated Herniation: When the herniated disc is pressing on critical nerves.

Common risk factors for developing lumbar disc herniation include aging, obesity, a sedentary lifestyle, certain occupations, and genetic predisposition. If left untreated, lumbar disc herniation can lead to severe complications, making surgery the best option for relief.

Lumbar disc hernia surgery is typically performed under either general anesthesia or spinal (epidural) anesthesia. The choice of anesthesia depends on the patient’s condition and the type of surgery to be performed. There are three primary methods of performing a discectomy:

1. Open Discectomy is performed under general anesthesia and involves making a 2 to 4 cm incision in the lower back. The surgeon accesses the herniated disc by cutting through muscle and bone to remove the disc or the portion pressing on the nerve. While this technique is effective, it is more invasive compared to other methods and typically requires a longer recovery time.
2. Endoscopic (Closed) Discectomy is a minimally invasive procedure performed with either general or spinal anesthesia. The surgeon makes small incisions, usually 3 to 4, through which a camera and instruments are inserted. Using a laparoscope, the herniated tissue is carefully removed with minimal damage to surrounding tissues. This method leads to faster recovery times, reduced pain, and smaller scars.
3. Microdiscectomy is also performed under general anesthesia, with a small incision of about 2 cm in the lower back. The surgeon uses specialized tools and a microscope for high precision in removing the herniated disc material. This method minimizes the risk of nerve damage and typically offers quicker recovery compared to open discectomy, making it an effective option for many patients.

The choice of technique depends on the severity of the herniation, the patient’s health, and the surgeon’s expertise. Microdiscectomy and endoscopic discectomy are generally preferred for their minimally invasive nature and quicker recovery times.

Before undergoing lumbar disc hernia surgery, patients must undergo several preparatory steps to ensure their safety and the success of the procedure. These steps include:

• Physical Examination: A thorough examination to assess overall health and determine the exact location of the herniated disc.
• Imaging Tests: X-rays, MRI, or CT scans to obtain detailed images of the spine and identify the herniated disc.
• Pre-Operative Consultations: Patients will meet with the anesthesiologist to determine the appropriate anesthesia method.
• Blood Tests: To check for any underlying medical conditions that may affect the surgery.
• Medications: The doctor may advise stopping certain medications (e.g., blood thinners) prior to surgery.

By ensuring all medical conditions are properly addressed, the preparation process helps minimize the risk of complications during and after surgery.

Recovery from lumbar disc hernia surgery varies depending on the technique used and the individual’s health. However, most patients experience a significant improvement in symptoms within the first few weeks. Here’s what to expect during recovery:

• Hospital Stay: Patients typically stay in the hospital for 1 to 2 nights after the procedure.
• Rest: Adequate rest is crucial in the first few days following surgery. Patients should avoid standing or sitting for long periods and refrain from strenuous activities.
• Post-Surgery Care: Patients may be advised to wear a waist corset to support the lower back and aid healing.
• Physical Therapy: Starting physical therapy 2 months after surgery is essential to strengthen the muscles around the spine and promote healing.
• Gradual Return to Activity: Most patients can return to light activities within a few weeks, while strenuous activities and heavy lifting should be avoided for at least 4 to 6 weeks.
• Follow-Up Appointments: Regular follow-up visits are necessary to monitor healing and ensure the surgery was successful.

Although the recovery time can vary, most patients can expect to see substantial improvements within 4 to 6 weeks after surgery.

Post-operative care is vital to ensure a smooth recovery and avoid complications. Key post-surgery instructions include:

• Correct Use of Medications: Follow the prescribed pain management plan and take antibiotics (if needed).
• Use of Waist Corset: To support the lumbar region and aid recovery.
• Avoid Prolonged Sitting or Standing: Movement should be kept to a minimum in the first few days post-surgery.
• Physical Therapy: A well-designed physical therapy program can speed up recovery.
• Avoid Strenuous Activities: Avoid heavy lifting, bending, or other movements that may strain the back.
• Monitor Surgical Site: Keep the incision clean and dry to prevent infection.

Adhering to these guidelines will help ensure the best possible outcome from the surgery.

• Pain Relief: The main advantage of undergoing lumbar disc hernia surgery is the relief it provides from chronic back and leg pain caused by the compression of nerves due to the herniated disc. By removing or repairing the herniated disc, pressure on the nerves is alleviated, which leads to a significant reduction or complete elimination of pain. This can dramatically improve the patient’s quality of life, especially for those who have suffered for months or years with persistent pain.
• Improved Mobility: After the surgery, many patients notice a marked improvement in their ability to move and perform daily activities that may have previously been hindered by pain or discomfort. With the pressure on the nerves reduced, patients often regain better flexibility, strength, and function in their back and legs, making it easier to engage in physical activities like walking, sitting, and standing.
• Prevention of Further Complications: Lumbar disc hernia surgery also plays a crucial role in preventing more serious complications. If left untreated, the herniated disc can continue to put pressure on the nerves, leading to permanent nerve damage, muscle weakness, and other long-term issues like foot drop or loss of bladder control. Surgery helps prevent these complications by addressing the root cause of the problem and halting the progression of the condition.
• Minimally Invasive Options: Modern surgical techniques such as microdiscectomy and endoscopic discectomy offer minimally invasive alternatives to traditional open surgery. These methods involve smaller incisions, which result in less tissue damage, reduced pain, and faster recovery times. Additionally, the smaller incisions lead to smaller scars, which is a significant cosmetic benefit. These minimally invasive options allow patients to return to their normal activities sooner, with less discomfort and a lower risk of complications compared to more invasive procedures.

Turkey is renowned for providing high-quality medical care at competitive prices, making it an attractive destination for medical tourism. The cost of lumbar disc hernia surgery in Turkey can vary based on several factors, including the type of procedure, the complexity of the case, the surgeon’s expertise, and the location of the hospital. Despite these variables, the overall cost of lumbar disc hernia (discectomy) surgery in Turkey is significantly lower than in many Western countries, offering substantial savings for international patients.

Key factors that influence the cost include:

• Type of Procedure: Different surgical methods, such as open discectomy, microdiscectomy, or endoscopic discectomy, may have varying costs.
• Complexity of the Case: More complicated cases requiring additional procedures or longer surgery times may incur higher costs.
• Surgeon’s Expertise: Experienced surgeons with a track record of successful lumbar disc hernia surgeries may charge higher fees.
• Hospital Location: Costs can also differ based on the hospital’s location, with medical centers in major cities typically charging more.

Overall, Turkey offers significant savings without compromising the quality of care, making it an affordable option for those seeking lumbar disc hernia surgery abroad. Contact us today for a personalized quote tailored to your specific needs.

At Prospero Medical, we work with some of the best neurologists and advanced surgical centers in Turkey to offer world-class care for lumbar disc hernia surgery. Our team is dedicated to providing personalized treatment, ensuring that each patient receives tailored care and continuous support throughout their entire journey. From the initial consultation to post-operative follow-up, we prioritize your health and well-being every step of the way. 

Our expert surgeons are highly experienced in performing lumbar disc hernia surgeries using the latest techniques, ensuring the best possible outcomes. We collaborate with state-of-the-art hospitals equipped with the most advanced medical technology, which allows us to provide the highest quality care. Additionally, we offer affordable treatment options, so you can access top-tier care without compromising your budget. Throughout your treatment process, we offer comprehensive support to ensure a smooth and stress-free experience, from the consultation to your full recovery.

For more information or to schedule your consultation, contact Prospero Medical today!

• Phone: +44 20 3885 2029
• WhatsApp Support Line: 0532 425 73 88
• Email: info@prosperomedical.co.uk