Microscopic discectomy procedure

In this gallery of images we go through a microdiscectomy performed at our outpatient surgical center.  This is a 40 year old active duty serviceman with a large herniated nucleus pulposus at the L5.S1 level on the right side.  This sequence of pictures documents the steps that we follow as we move from the pre-anesthetic phase of the operation, through induction of anesthesia, positioning and prepping and draping, and then through the actual operation itself.  Finally, we close the skin with an absorbable suture, apply a layer of dermabond which seals the skin, and then take the patient back to the post-anesthetic care unit so that he can go home on the same day as the operation.

The surgical incision is sewn up with an absorbable suture and then steri-strips are placed perpendicular to the incision.  On top of the steri-strips I use a transparent dressing called “Tegaderm”.  This dressing sticks to the skin very well and it should be left on until the 1st post-operative visit.  Underneath the Tegaderm dressing the steri-strips are left in place until they fall off by themselves, which usually takes another 5 days or so.

microdisc incision size   microdisc incision

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Darin Andrews

6 years ago

I want to know if I need someone to help me do normal things after the surgery. Should I have someone in my family visit me for a couple of weeks to help? Will I be able to function by myself? Also, I’m in the middle of my thesis and am supposed to be finished by Sept. They will allow me to extend at the Naval Postgraduate School for another three to six months if necessary. Do you recommend that I request this extension? Thanks!

SG-sliderSS1

Sohrab Gollogly, MD is a board-certified orthopedic surgeon and Fellowship-trained spine surgeon who also performs scientific research and participates in several volunteer surgical organizations.

Dr. Gollogly completed his undergraduate education in biology at Reed College in Portland, Ore. He earned his medical degree from the University of Washington School of Medicine.

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