High-Frequency Bipolar Coagulation Limits Epidural Fibrosis in Lumbar Microdiscectomy

Authors

• Ahmed Yavuz, Neurosurgery, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, TUR.
• Haydar Gok, Neurological Surgery, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, TUR.
• Kivanc Yangi, Neurological Surgery, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, TUR.
• Suat Erol Celik, Neurological Surgery, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, TUR.
• Gokhan Percinoglu, Neurological Surgery, Prof. Dr. Cemil Taşçıoğlu City Hospital, Istanbul, TUR.
• Kamber Goksu, Radiology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR.

Document Type

Article

Abstract

BACKGROUND AND AIM: We propose a vast study to examine the effect of high-frequency bipolar coagulation used in the operating room to prevent the development of epidural fibrosis after lumbar microdiscectomy. MATERIALS AND METHODS: A total of 1004 participants were divided into two groups: no high-frequency bipolar coagulation (NC group) and high-frequency bipolar coagulation (C group). Postoperative epidural fibrosis, infection rates, reoperation status, and dural injury complications during the operation were recorded. RESULTS: Considering the epidural fibrosis rates of the two groups, epidural fibrosis was seen in 10.6% of the patients in the NC group. In contrast, it was seen in only 6.2% of the patients in the C group. CONCLUSION: The complication of epidural fibrosis that develops after lumbar microsurgery operations both impairs patient comfort and brings with it the complications of reoperation. After performing hemostasis with bipolar, coagulating the annulus may effectively reduce epidural fibrosis and prevent reoperation.

Publication Date

9-1-2023

Publication Title

Cureus

ISSN

2168-8184

Volume

15

Issue

9

First Page

e45077

PubMed ID

37705564

Digital Object Identifier (DOI)

10.7759/cureus.45077

Recommended Citation

Yavuz, Ahmed; Gok, Haydar; Yangi, Kivanc; Celik, Suat Erol; Percinoglu, Gokhan; and Goksu, Kamber, "High-Frequency Bipolar Coagulation Limits Epidural Fibrosis in Lumbar Microdiscectomy" (2023). Neurosurgery. 2356.
https://scholar.barrowneuro.org/neurosurgery/2356