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ID 116213
Title Alternative
Early return activity after endoscopic surgery in medical doctors
Author
Fujii, Yugen Tokushima University
Ishihama, Yoshihiro Tokushima University
Manabe, Hiroaki Tokushima University
Maeda, Toru Tokushima University
Keywords
Full endoscopic discectomy (FED)
local anesthesia
return to job
outcome
Content Type
Journal Article
Description
Full endoscopic surgery including discectomy (FED) and ventral facetectomy (FEVF) is a minimally invasive lumbar decompression surgery that only requires an 8 mm skin incision and can be done under the local anesthesia and sedation. Six male medical doctors underwent the endoscopic decompression (FED/FEVF) for common degenerative lumbar spine problems. Their age ranged from 27 to 63 years of age with a mean of 40 years. Five doctors underwent FED surgery for herniated nucleus pulposus (HNP), and the remaining one physician had FEVF for lumbar lateral recess stenosis. There were no surgery related complications. Postoperatively, 5 out of the 6 physician patients returned the original job within a week because they had clinical duties. The shortest duration to return to work was reported by a 63-year-old orthopedic surgeon resumed working in his clinic 2 days after the FEVF surgery. The longest duration to return to work occurred in general medicine resident who took almost 2 weeks for the sick leave because he did not have clinical duties. The mean duration for the returning to work was 5.8 days after the surgery. At final follow-up ranging from 6 to 30 months, all physician patients were working without any residual pain. In the hands of the authors, the full endoscopic transforaminal decompression surgery is the preferred surgical option and allowed early return to work—an observation that is not the norm in Japan.
Journal Title
Journal of Spine Surgery
ISSN
2414469X
24144630
Publisher
AME Publishing Company
Volume
6
Issue
Suppl1
Start Page
S294
End Page
S299
Published Date
2020-01
Rights
This article is published under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0)(https://creativecommons.org/licenses/by-nc-nd/4.0/).
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital