Dr. Ratish Kumar Mishra is a highly skilled and dedicated Consultant Orthopaedic and Spine surgeon currently associated with Sanjivini Hospital in Gomti Nagar, Lucknow. His areas of expertise include Neck Pain, Back Pain, Sciatica Pain, Slipped Disc, Lumbar Canal Stenosis, Spondylolisthesis, Fractures in the Spine, Spinal Cord Injury, Spine Tumors, and infections in the spine. He is also skilled in Scoliotic spine surgery and Deformity correction surgeries. He is well-versed in open, Minimally Invasive, and Endoscopic spine surgeries. He can perform anterior and posterior Cervical, Thoracic, and Lumbar spine surgery.”

 

Discectomy

Discectomy

Discectomy is a surgical procedure performed to alleviate symptoms caused by herniated or degenerated intervertebral discs in the spine. This comprehensive overview delves into the principles, indications, the surgical process, and expected outcomes associated with discectomy.

Principles of Discectomy:

  1. Disc Herniation:
    • The primary goal of discectomy is to address disc herniation, where the gel-like interior of a spinal disc protrudes through its outer layer, potentially compressing nearby nerves or the spinal cord.
  2. Pressure Alleviation:
    • By removing the herniated or damaged portion of the disc, discectomy aims to relieve pressure on spinal structures, alleviating pain and other associated symptoms.

Indications for Discectomy:

  1. Herniated Discs:
    • Discectomy is commonly recommended for individuals with symptomatic herniated discs causing persistent pain, numbness, or weakness.
  2. Degenerative Disc Disease:
    • In cases of severe degenerative disc disease, where conservative treatments have failed to provide relief, discectomy may be considered.
  3. Sciatica:
    • Sciatica, characterized by radiating pain down the leg due to compression of the sciatic nerve by a herniated disc, is a common indication for discectomy.

The Surgical Process:

  1. Incision:
    • Discectomy is typically performed under general anaesthesia. A small incision is made over the affected disc.
  2. Soft Tissue Dissection:
    • Muscles and soft tissues are gently moved aside to access the spine.
  3. Disc Exploration:
    • The surgeon carefully identifies and explores the damaged or herniated portion of the disc.
  4. Disc Removal:
    • The herniated or damaged disc material is excised, either partially (partial discectomy) or entirely (complete discectomy).
  5. Closure:
    • The incision is closed with stitches or staples, and the patient is closely monitored during the postoperative period.

Expected Outcomes:

  1. Pain Relief:
    • Discectomy is often successful in providing relief from pain associated with disc herniation, particularly in addressing symptoms like sciatica.
  2. Improved Functionality:
    • By alleviating pressure on spinal structures, discectomy can lead to improved functionality, reduced numbness, and enhanced mobility.
  3. Prevention of Further Damage:
    • Discectomy aims to prevent further damage to nerves or the spinal cord by removing the source of compression.

Risks and Considerations:

  1. Infection:
    • As with any surgical procedure, there is a risk of infection at the surgical site.
  2. Bleeding:
    • Excessive bleeding is a potential risk during surgery.
  3. Recurrence:
    • In some cases, disc herniation may recur, necessitating additional interventions.
  4. Nerve Damage:
    • While the goal is to relieve pressure on nerves, there is a slight risk of unintentional nerve damage during the procedure.

Conclusion:

Discectomy is a well-established and effective surgical procedure for addressing symptoms associated with disc herniation. While the surgery carries certain risks, the potential benefits in terms of pain relief and improved functionality can be substantial. Patients considering discectomy should engage in thorough discussions with their healthcare team to understand the procedure, potential risks, and expected outcomes based on their specific condition.

    Patient’s Reviews

    Dr. Ratish is an exceptional Orthopedic Surgeon whose expertise and dedication truly stand out. His meticulous attention to detail, coupled with his compassionate patient care, make him a remarkable choice for anyone seeking orthopedic treatment. With a deep commitment to improving his patients' quality of life, Dr. Ratish’s skill and professionalism are truly admirable.

    Shefali Chimnani

    Patient

    Dr Ratish is an exceptional specialist in spine care. His expertise is evident in his precise diagnoses and effective treatments. His dedication to patient well-being and extensive experience makes him a top choice for anyone seeking spine-related medical assistance.

    Aman Ahuja

    Patient