徳島大学 教育・研究者情報データベース(EDB)

1. (英) Yamashita Kazuta

   役割	任意
   貢献度	任意
   学籍番号	推奨

2. 東野 恒作

   役割	任意
   貢献度	任意
   学籍番号	推奨

3. 酒井 紀典([徳島大学.病院.中央診療施設等.高度先進整形外科診療部])

   役割	任意
   貢献度	任意
   学籍番号	推奨

4. 髙田 洋一郎

   役割	任意
   貢献度	任意
   学籍番号	推奨

5. 阿部 光伸

   役割	任意
   貢献度	任意
   学籍番号	推奨

6. (英) Morimoto Masatoshi

   役割	任意
   貢献度	任意
   学籍番号	推奨

7. 長町 顕弘

   役割	任意
   貢献度	任意
   学籍番号	推奨

8. 西良 浩一([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.運動機能外科学])

   役割	任意
   貢献度	任意
   学籍番号	推奨

(英) Revision percutaneous endoscopic lumbar discectomy under the local anesthesia for the recurrent lumbar herniated nucleus pulposus in a high class athlete: A case Report.

(英) Percutaneous endoscopic discectomy (PED) is a minimally invasive spinal technique and has several advantages compared with open surgery. We describe repeat PED surgery for recurrent herniated nucleus pulposus (HNP). The patient was a 33-year-old handball high level player. Previously, he underwent transforaminal PED under local anesthesia for intracanalicular HNP at L4-5 level about 2 years ago. He could return to his original competitive level. Two years later, he felt low back and right leg pain again when he was playing handball. Magnetic resonance imaging revealed the recurrence of HNP at the same level. We conducted transforaminal PED again using the exact same route as the previous surgery. Although there was a little adhesion around the L5 nerve root, we could easily identify and remove the herniated mass using endoscopic forceps. Immediately after the surgery, the low back and leg pain disappeared. Repeat PED surgery for recurrence of lumbar disc herniation is effective especially for athletes because of the benefits of PED, including surgery under local anesthesia, preservation of normal posterior structures, less postoperative pain, early discharge, and faster return to sports. J. Med. Invest. 63: 135-139, February, 2016.

1. (英) PublicationType: Journal Article