{"id":827,"date":"2024-04-27T16:30:03","date_gmt":"2024-04-27T16:30:03","guid":{"rendered":"https:\/\/www.traumasosecuador.com\/?p=827"},"modified":"2024-04-27T16:30:05","modified_gmt":"2024-04-27T16:30:05","slug":"cirugia-endoscopica-lumbar-para-retiro-de-hernia-discal-caso-de-exito-en-un-paciente-con-dolor-cronico","status":"publish","type":"post","link":"https:\/\/www.traumasosecuador.com\/?p=827","title":{"rendered":"Cirug\u00eda Endosc\u00f3pica Lumbar para Retiro de Hernia Discal: Caso de \u00c9xito en un Paciente con Dolor Cr\u00f3nico"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Introducci\u00f3n:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La hernia discal lumbar es una patolog\u00eda prevalente que genera dolor intenso e incapacidad funcional en los pacientes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La cirug\u00eda endosc\u00f3pica lumbar se ha convertido en una alternativa eficaz a las t\u00e9cnicas tradicionales, ofreciendo una recuperaci\u00f3n m\u00e1s r\u00e1pida y menos invasiva.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Caso de Estudio:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Paciente:<\/strong> Roberto, 55 a\u00f1os.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Diagn\u00f3stico:<\/strong> Hernia discal L4-L5<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Antecedentes:<\/strong> Dolor lumbar intenso de 2 a\u00f1os de evoluci\u00f3n, con irradiaci\u00f3n a la pierna izquierda y debilidad muscular. Refractario a tratamiento m\u00e9dico conservador.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Examen f\u00edsico:<\/strong> Disminuci\u00f3n de la sensibilidad y fuerza muscular en la pierna izquierda. Signo de Las\u00e8gue positivo.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Estudios de imagen:<\/strong> Resonancia magn\u00e9tica que confirma hernia discal L4-L5 con compresi\u00f3n de la ra\u00edz nerviosa L5.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tratamiento:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cirug\u00eda endosc\u00f3pica lumbar:<\/strong> \u00a0El medico tratante luego de los ex\u00e1menes respetivos en el Hospital Carlos Andrade Marin de la ciudad de Quito, procede a agendar la cirug\u00eda para el retiro de la hernia de disco con el uso de nuestro <strong>SISTEMA ENDOSCOPIA MAX MOREE.<\/strong><\/li>\n\n\n\n<li>Bajo anestesia general, se realiz\u00f3 una discectom\u00eda L4-L5 por v\u00eda utilizando un abordaje foraminal; se procedio a retirar el fragmento herniado con \u00e9xito.<\/li>\n\n\n\n<li>La cirug\u00eda se la realizo con \u00e9xito y en corto tiempo<\/li>\n\n\n\n<li><strong>Postoperatorio:<\/strong> Control del dolor con analgesia oral. Movilizaci\u00f3n temprana y fisioterapia.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Resultados:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Alivio del dolor inmediato.<\/strong><\/li>\n\n\n\n<li><strong>Recuperaci\u00f3n de la sensibilidad y fuerza muscular en la pierna izquierda.<\/strong><\/li>\n\n\n\n<li><strong>Retorno a las actividades cotidianas sin dolor a las 4 semanas.<\/strong><\/li>\n\n\n\n<li><strong>Satisfacci\u00f3n del paciente con la t\u00e9cnica.<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">La cirug\u00eda endosc\u00f3pica lumbar ofrece una serie de ventajas sobre las t\u00e9cnicas tradicionales:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>M\u00ednimamente invasiva:<\/strong> Menor trauma quir\u00fargico, menor sangrado y cicatrizaci\u00f3n.<\/li>\n\n\n\n<li><strong>Recuperaci\u00f3n m\u00e1s r\u00e1pida:<\/strong> Movilizaci\u00f3n temprana y reincorporaci\u00f3n a las actividades cotidianas en menor tiempo.<\/li>\n\n\n\n<li><strong>Menos dolor:<\/strong> Menor dolor postoperatorio y menor necesidad de analg\u00e9sicos.<\/li>\n\n\n\n<li><strong>Preservaci\u00f3n de la musculatura:<\/strong> Menor da\u00f1o a los tejidos blandos.<\/li>\n\n\n\n<li><strong>Mayor precisi\u00f3n:<\/strong> Visualizaci\u00f3n directa de la columna vertebral y el disco herniado.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">La cirug\u00eda endosc\u00f3pica lumbar es una opci\u00f3n eficaz y segura para el tratamiento de la hernia discal lumbar en pacientes con dolor cr\u00f3nico. Ofrece una serie de ventajas sobre las t\u00e9cnicas tradicionales, lo que se traduce en una mejor experiencia para los pacientes y una recuperaci\u00f3n m\u00e1s r\u00e1pida. El caso de Roberto es un ejemplo del \u00e9xito de esta t\u00e9cnica en la poblaci\u00f3n con esta patolog\u00eda.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Referencias:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sociedad Espa\u00f1ola de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda (Secot):<\/strong> <a href=\"https:\/\/www.secot.es\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.secot.es\/<\/a><\/li>\n\n\n\n<li><strong>Art\u00edculo en Revista Espa\u00f1ola de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda:<\/strong> <a href=\"http:\/\/scielo.sld.cu\/scielo.php?script=sci_arttext&amp;pid=S0864-34662008000400011\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/scielo.sld.cu\/scielo.php?script=sci_arttext&amp;pid=S0864-34662008000400011<\/a><\/li>\n\n\n\n<li><strong>Art\u00edculo en The Spine Journal:<\/strong> <a href=\"https:\/\/journals.lww.com\/spinejournal\/pages\/default.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/journals.lww.com\/spinejournal\/pages\/default.aspx<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Para m\u00e1s informaci\u00f3n sobre la cirug\u00eda endosc\u00f3pica lumbar, consulte con un especialista en traumatolog\u00eda y cirug\u00eda de columna.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nota:<\/strong> Este art\u00edculo informativo no reemplaza la consulta con un profesional m\u00e9dico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n: La hernia discal lumbar es una patolog\u00eda prevalente que genera dolor intenso e incapacidad funcional en los pacientes. La cirug\u00eda endosc\u00f3pica lumbar se ha convertido en una alternativa eficaz a las t\u00e9cnicas tradicionales, ofreciendo una recuperaci\u00f3n m\u00e1s r\u00e1pida y menos invasiva. Caso de Estudio: Paciente: Roberto, 55 a\u00f1os. Diagn\u00f3stico: Hernia discal L4-L5 Antecedentes: Dolor [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":828,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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