UNIVERSAL ENDOSCOPIC DISCECTOMY UNIVERSAL ENDOSCOPIC DISCECTOMY In 1934, Joseph S. Barr , a professor from Harvard University, discovered the herniated discs as the main cause of low back pain and sciatica. He designed the technique of open Discectomy surgery (Laminectomy) for treatment of herniated disc has since been increasingly utilized. UNIVERSAL ENDOSCOPIC DISCECTOMY However, in 1967 Doctor Joseph S. Barr in a critical speech in San Diego has said, “We must find another technique to remove discs material with a fewer iatrogenic complications” (mentioned that we got to find another technique to remove disc material with fewer IATROGENIC complications.” (FAILED BACK SURGERY). UNIVERSAL ENDOSCOPIC DISCECTOMY UNIVERSAL ENDOSCOPIC DISCECTOMY UNIVERSAL ENDOSCOPIC DISCECTOMY UNIVERSAL ENDOSCOPIC DISCECTOMY UNIVERSAL ENDOSCOPIC DISCECTOMY PATIENT’S PAIN DRAWN BEFORE SURGERY PATIENT’S PAIN DRAWN AFTER SURGERY UNIVERSAL ENDOSCOPIC DISCECTOMY Good 30% 380 Cases Poor 2% 25 cases Fair 3% 38 cases Unknown 5% 63 cases Excellent 60% 760 cases Good means return to the same job But occasionally had pain and needs NSAI drugs. UNIVERSAL ENDOSCOPIC DISCECTOMY SCORE AND RESULTS 60 % EXCELLENT - MEANS RETURN TO THE SAME JOB, NO NEED FOR MEDICATIONS. 30 % GOOD - MEANS RETURN TO THE SAME JOB, BUT OCCASIONALLY HAD PAIN AND NEED MEDICATIONS. 3 % FAIR - MEANS PATIENTS MAY CHANGED JOBS AND NEED FURTHER MEDICATION. 2 % POOR - MEANS PATIENT COULD NOT GO TO THE SAME JOB AND NEEDS FURTHER SURGERY. 5 % UNKNOWN – MEANS – LOST IN A FOLLOW UP OR PATIENT HAVE MOVED SOMEWHERE ELSE OR DECEASED. UNIVERSAL ENDOSCOPIC DISCECTOMY UNIVERSAL ENDOSCOPIC DISCECTOMY