Comparing Endoscopic and Open Lumbar Discectomy in Adults with Diabetes and Single-Level Lumbar Disc Herniation

What this Trial Is About

Researchers are comparing two surgical techniquesendoscopic and open lumbar discectomyin patients with diabetes mellitus who have a prolapsed lumbar disc causing low back pain and radiculopathy. Diabetes is a common disease that can affect many organs and increase risks during medical and surgical treatments. The study aims to determine differences in outcomes between the less invasive endoscopic method and the traditional open surgery approach. Participants will be randomly assigned to one of two groups. One group will receive endoscopic lumbar discectomy, a minimally invasive surgery using an endoscope to relieve nerve pressure. The other group will undergo the conventional open lumbar discectomy, which is considered the standard technique. Both methods target herniated discs at a single spinal level L4-5 or L5-S1. During the trial, researchers will assess pain levels 48 hours after surgery, including low back and radicular pain. They will also measure operative factors such as blood loss, procedure duration, wound length, and hospital stay length up to one week postoperatively. Participants will be monitored closely to collect these outcomes, ensuring thorough evaluation of each surgical approach over the course of recovery.

Endoscopic Versus Open Lumbar Discectomy in Diabetic Patients