TY - CHAP M1 - Book, Section TI - Hydrosurgery of Disc A1 - Demesmin, Didier A1 - Parikh, Sagar A2 - Diwan, Sudhir A2 - Staats, Peter S. PY - 2015 T2 - Atlas of Pain Medicine Procedures AB - Hydrodiscectomy is a form of disc decompression within the realm of minimally invasive discectomy that is an effective, predictable method of nucleus removal in disc pathology such as contained disc herniation or disc budge. Though the gold standard for surgical treatment of herniated disc disease is open micro­discectomy, minimally invasive treatments like hydrodiscectomy has gained momentum as an alternative treatment option. As with other forms of disc decompression, the primary goal is to remove herniated disc material to relieve compression of a nerve root or other neural structures. Patients requiring this procedure often have nerve impingement causing radicular pain symptoms that have not been relieved with conservative treatment over a 2 months span or epidural steroid injections. Hydrodiscectomy is an effective and predictable method of nucleus removal, removing hydrated or desiccated nucleus pulposus, and poses no risk for thermal damage. Its blunt tip design minimizes risk of end plate and annular damage. This means there is maximum safety within the disc. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1107197540 ER -