As you may know me my name is Smurf and my hubby had a MicroD. on the L5 in Nov'07. Well shorly after his L4 herniated. I was researching for new procedures and found one called "Selective Endoscopic Discectomy (SED)". He is having surgery on 8-1-08 and will try this procedure. If it does not work the surgeon will just do a regular MicroD while he is there. Ok. This is a brief summary of the SED:
The endoscope allows the surgeon to use a "keyhole" incision to access the herniated disc. Muscle & tissue are dilated rather than being cut when accessing the disc. Surgery time can range from 60-90 min under local anesthesia.The procedure is performed with an "inside out" technique working underneath the herniation pulling it back into the disc instead of through the epidural space like a traditional Microdisectomy. Procedure good for herniated,protruted,extruded or degenerative discs.
This came out in MAR'08. I hope I am not repeating myself but I have not heard about this before. I will let you know how hubbys' surgery went.