Our Experiences in Complications in Spinal Disk Herniation Surgery

2015 
Introduction: In the teaching hospital of the National University of Asuncion, approximately 85% of patients presenting to the query in the neurosurgery service, do so for back pain radiating to the lower limbs. In the time period spanning from January 2013 to September 2014, 43 were operated herniated discs. We discuss our experience on postoperative complications. Material and Methods: This study is an observational retrospective study. We used the medical records registered in the office of Neurosurgery Hospital of Clinics of the National University of Asuncion and records of surgical techniques in patients undergoing herniated discs from January 2013 to September 2014. Excel is a form of USU to record data. The variables observed were satisfactory or postsurgical evolution, age, sex, and job occupation. Results: Of the 43 patients operated, we had the following six complications: two infections of surgical wounds, an error of level, two reherniation, and one seroma. These complications occurred in five of 43 patients, 11.6% of them. Conclusion: We conclude that our rate of complication is not low considering the number of patients operated. We had infection in 4.6%, error of level in 2.3%, rehernation in 4.6%, and seroma in 2.3%. We had complications whose origin could have been avoided as infections in which we find the probably fault in the line of asepsis during surgery and in the postoperative care.
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