SURGICAL OF LUMBAR DISC HERNIATION AT ZAINOEL ABIDIN GENERAL HOSPITAL BANDA ACEH: EXPERIENCE WITH 28 PATIENTS
Abstract: Surgery is one of
the options in HNPL management if standar conservative treatment failed. HNP
surgery results in Aceh have not been reported yet. Therefore, this study
reported the HNPL surgery in Zainoel Abidin General Hospital, Banda Aceh period
2010-2012. This research was a descriptive retrospective.The incidence of HNPL
who underwent surgery was 28 patients. There was no HNPL case in the age group
I (0-18 years), age group II (19-40 years) was 7 patients (25%), and age group
III (over 40 years) was 21 patients (75%). Based on HNPL location, no HNPL
located in the L1-L2 and L3-L4, L2-L3 was 1 patient (3.57%), L4-L5 was 20
patients (71.42%), L5-S1 was 3 patients (10.71%), and there were 4 patients
HNPL in multiple lumbar (14.28%). Hemilaminectomy was the most common type of
surgery performed (27 patients or 96.42%), followed by laminotomy (1 patients
or 3.57%). In summary, the most common lumbar disc herniation was in L4-L5. The
surgical option is only for the patients that failed conservative treatment(in
six weeks- six months period). Hemilaminectomy was the most common procedure performed
in HNP patient in Aceh.
Author: Azharuddin
Journal Code: jpkedokterangg140263