Biportal Endoscopic Intervention for Lumbar Disk Herniation: Evaluating Clinical Effectiveness and Patient Outcomes
Aims and background: Lumbar disk herniation (LDH) affects millions worldwide, spurring advancements in treatment. Biportal endoscopic spinal surgery (BESS) emerges as a promising approach, minimizing invasiveness. BESS employs specialized tools using two stab incisions. This study assesses BESS effi...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2025-07-01
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| Series: | Journal of Orthopedics and Joint Surgery |
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| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1201 |
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| author | Apoorv Kumar Arohi Gupta Sujith V Rao Huzaifa A Ansari |
| author_facet | Apoorv Kumar Arohi Gupta Sujith V Rao Huzaifa A Ansari |
| author_sort | Apoorv Kumar |
| collection | DOAJ |
| description | Aims and background: Lumbar disk herniation (LDH) affects millions worldwide, spurring advancements in treatment. Biportal endoscopic spinal surgery (BESS) emerges as a promising approach, minimizing invasiveness. BESS employs specialized tools using two stab incisions. This study assesses BESS efficacy in treating LDH, analyzing surgical outcomes and potential complications from existing literature.
Methods: A thorough literature review evaluated BESS efficacy in LDH management. Multiple databases were queried for studies on BESS outcomes and complications. Inclusion criteria comprised studies assessing postoperative results using clinical scores like visual analog scale, MacNab criteria, and Oswestry disability index. Data synthesis provided insights into BESS effectiveness and limitations.
Results: The review reveals favorable postoperative outcomes with BESS, reflected in clinical scoring systems. Common benefits include pain reduction, enhanced function, and high patient satisfaction. In contrast to traditional open surgery, BESS offers advantages such as diminished blood loss and abbreviated hospital stays, alongside quicker recovery times. However, challenges, including a learning curve for surgeons and practical obstacles, still exist.
Conclusion: BESS presents promise for LDH management with favorable postoperative outcomes and benefits over traditional methods. Acknowledging challenges, it calls for careful integration into clinical practice and ongoing research to refine techniques, with the aim to improve surgical outcomes and elevate the quality of life of our patients.
Clinical significance: This study underscores BESS as a valuable LDH treatment option, especially in specific patient groups. It offers insights to aid clinicians in informed decision-making, emphasizing the need for ongoing surgical advancements to enhance BESS efficacy and safety, thereby improving patient care. |
| format | Article |
| id | doaj-art-ea656390547f4f5d92d385cd1fb8696e |
| institution | Kabale University |
| issn | 2582-7863 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Orthopedics and Joint Surgery |
| spelling | doaj-art-ea656390547f4f5d92d385cd1fb8696e2025-08-20T03:41:14ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632025-07-017226426810.5005/jojs-10079-120118Biportal Endoscopic Intervention for Lumbar Disk Herniation: Evaluating Clinical Effectiveness and Patient OutcomesApoorv Kumar0https://orcid.org/0009-0003-3303-9382Arohi Gupta1https://orcid.org/0009-0003-7323-2996Sujith V Rao2https://orcid.org/0000-0002-0076-8816Huzaifa A Ansari3https://orcid.org/0009-0007-6686-9269Apoorv Kumar, Department of Spine Surgery, Apollomedics Super Speciality Hospital, Lucknow, Uttar Pradesh, India, Phone: +91 8884734857Department of Neonatology, SGPGIMS, Lucknow, Uttar Pradesh, IndiaDepartment of Spine Surgery, Kozhikode District Co-Operative Hospital, Kozhikode, Kerala, IndiaDepartment of Orthopedics, Apollomedics Super Speciality Hospital, Lucknow, Uttar Pradesh, IndiaAims and background: Lumbar disk herniation (LDH) affects millions worldwide, spurring advancements in treatment. Biportal endoscopic spinal surgery (BESS) emerges as a promising approach, minimizing invasiveness. BESS employs specialized tools using two stab incisions. This study assesses BESS efficacy in treating LDH, analyzing surgical outcomes and potential complications from existing literature. Methods: A thorough literature review evaluated BESS efficacy in LDH management. Multiple databases were queried for studies on BESS outcomes and complications. Inclusion criteria comprised studies assessing postoperative results using clinical scores like visual analog scale, MacNab criteria, and Oswestry disability index. Data synthesis provided insights into BESS effectiveness and limitations. Results: The review reveals favorable postoperative outcomes with BESS, reflected in clinical scoring systems. Common benefits include pain reduction, enhanced function, and high patient satisfaction. In contrast to traditional open surgery, BESS offers advantages such as diminished blood loss and abbreviated hospital stays, alongside quicker recovery times. However, challenges, including a learning curve for surgeons and practical obstacles, still exist. Conclusion: BESS presents promise for LDH management with favorable postoperative outcomes and benefits over traditional methods. Acknowledging challenges, it calls for careful integration into clinical practice and ongoing research to refine techniques, with the aim to improve surgical outcomes and elevate the quality of life of our patients. Clinical significance: This study underscores BESS as a valuable LDH treatment option, especially in specific patient groups. It offers insights to aid clinicians in informed decision-making, emphasizing the need for ongoing surgical advancements to enhance BESS efficacy and safety, thereby improving patient care.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1201biportal endoscopic spine surgerylumbar disk herniationsurgical outcomes |
| spellingShingle | Apoorv Kumar Arohi Gupta Sujith V Rao Huzaifa A Ansari Biportal Endoscopic Intervention for Lumbar Disk Herniation: Evaluating Clinical Effectiveness and Patient Outcomes Journal of Orthopedics and Joint Surgery biportal endoscopic spine surgery lumbar disk herniation surgical outcomes |
| title | Biportal Endoscopic Intervention for Lumbar Disk Herniation: Evaluating Clinical Effectiveness and Patient Outcomes |
| title_full | Biportal Endoscopic Intervention for Lumbar Disk Herniation: Evaluating Clinical Effectiveness and Patient Outcomes |
| title_fullStr | Biportal Endoscopic Intervention for Lumbar Disk Herniation: Evaluating Clinical Effectiveness and Patient Outcomes |
| title_full_unstemmed | Biportal Endoscopic Intervention for Lumbar Disk Herniation: Evaluating Clinical Effectiveness and Patient Outcomes |
| title_short | Biportal Endoscopic Intervention for Lumbar Disk Herniation: Evaluating Clinical Effectiveness and Patient Outcomes |
| title_sort | biportal endoscopic intervention for lumbar disk herniation evaluating clinical effectiveness and patient outcomes |
| topic | biportal endoscopic spine surgery lumbar disk herniation surgical outcomes |
| url | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1201 |
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