Logically, a deformed structure should be removed from the area to prevent damage to intact tissue. However, since the brain and spinal cord region is very sensitive, access to the abnormalized tissue may not be that easy.
Since medicine is based on the principle of ‘first do no harm’, ‘minimally invasive surgery’, that is, surgeries that provide maximum benefit with a small opening, are important.
THIS IS WHERE THE MICROSCOPE COMES INTO PLAY
Opening the skin large according to its depth, giving light inside, creating a large window to examine the details, and operating with a large team so that the visibility is not blocked in case of bleeding…
All this is due to the effort to keep the tissue clean inside.
In other words, a prolonged surgery, a large incision and excessive bleeding not only reduce the chances of success, but also create a life risk and increase the chances of infection many times over.
It is possible to eliminate these steps with a single operating microscope.
I have mentioned the logic of microsurgery in my previous articles.
The surgical field is made through an incision of only 1.4 cm.
Because there is a chance to see that area very clearly with a microscope.
Detailed cleaning is done by illuminating it with a cold light source.
In the meantime, since the fine capillaries, nerves and tumoral structures are seen clearly, there is no risk of damage.
And of course, in case of bleeding, the visual distance is not impaired.
WHAT IS THE BENEFIT OF MICROSURGERY?
The success of the surgery is not just about the patient going home safely.
Success is the steps taken to secure the patient’s tomorrow as well as today.
The important thing is that the skin incision is 1.4 cm, as well as proceeding with delicate steps inside and removing the abnormalized tissue without damaging the normal tissue.
Thanks to the microscope, this can be done easily.
CAN THOSE WHO HAVE HAD OPEN SURGERY BEFORE HAVE MICROSURGERY?
The tissue is a very flexible structure, but it can also be so protective that you cannot predict its reaction after an operation.
We can call this adhesion due to adhesion reaction.
This situation, which we see a lot after open surgery, makes the situation more difficult when a repeat operation is required, in addition to the absence of guides and the change in the anatomy of the region.
A patient who has had a misfortune and has been exposed to open surgery should not continue with the same mistake again.
In short, in such cases, be sure to consult your doctor.
He will most likely recommend microsurgery.
BACK HOME AND BACK TO WORK
I must emphasize that performing lumbar, neck or back hernia surgeries with microsurgical technique is not only about the small wound size.
In addition to being a method that respects the tissue, enables detailed cleaning, minimizes the risk of paralysis, excessive bleeding and the possibility of recurrence, the recovery period is also very short.
It is thanks to this microsurgical technique and microdiscectomy that the patient can stand up within 2-3 hours after the operation and return to work after 1-2 weeks.
In other words, while R&D is present in all our lives, it is impossible not to have it in medicine.
Just as there are no more people using dial phones, there are fewer and fewer doctors who perform surgery with up to 40 times magnification in waist, neck and back hernias.
So not using the microscope in such procedures should be a big question mark for patients…