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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive >  Spinal Surgery 2007

Healing Herniated Disks

Three approaches make the repair of ruptured disks viable in the outpatient setting.

Richard Wohns

The repair of herniated disks in the cervical region through anterior approaches, with and without fusion, and microdiscectomy in the lumbar region is becoming more and more a standard of practice. You can perform these procedures in a multi-specialty facility safely and successfully as long as you have adequate volume, appropriate equipment, trained personnel, a sound pain control protocol and good payor contracts.

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Categories: Spine/Neurosurgery
Keywords:
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A careful approach; Reading the codes; ASA II; Andrews; Anterior; Decadron; Depending; II; IV; Insurance; Jackson; Mayfield; Naprosyn; Operating; Patient; Percocet; Posterior; Reading; Recovery; Reglan; Standard; Standing; Tubular; Tylenol; Vicodin; access; accesses; accomplish; achieved; act; additional; adequate; advance; aim; allograft; allowing; ambulate; anatomy; anesthesia; anesthesiologists; anesthetic; anterior; applies; approach; area; arm; artificial; as-needed; assistant; attached; authorize; back; balance; based; basis; begin; bend; bloodless; body; bone; built; bulging; business; cage; care; careful; carriers; case; causing; center; cervical; challenging; choices; clear; clinical; closing; coding; compared; completely; complications; conclusion; conjunction; consultation; contracting; contracts; control; cord; cost; crease; current; cushioning; day; decide; decision; dedicated; deemed; degenerative; delays; depends; depth; desire; diabetic; difficult; diminishes; discharge; discomfort; disease; disk; disks; dissecting; doses; duration; easing; effectively; efficiency; efficient; employ; employed; endoscope; endoscopic; ensuring; enters; entire; establish; established; excess; expected; experienced; express; extubated; facility; falls; feedback; fills; find; frames; front; fused; fusion; give; good; graft; growth; head; headrest; healing; healthy; herniated; hour; immediately; implantation; implants; incision; including; injury; inserting; issues; knee-chest; large; largely; lead; lean; leave; left; leg; local; location; long; low; lower; lumbar; made; manage; markedly; maximizes; metal; microdiscectomy; microscope; minimizes; minutes; morning; moves; multi-level; multi-specialty; muscle; muscle-splitting; muscle-stripping; muscles; nausea; neck; nerve; neurological; non-tubular; numerous; nurses; obese; occasion; one-inch; one-level; operate; opposed; order; outfit; outfitted; outpatient; overnight; pads; pain; paralyzing; paramount; partner; patient; patients; payor; pedicle; percutaneous; perform; performed; performing; perspective; place; plane; plate; plays; positioning; post-op; potentially; pre-medicate; pre-op; precise; prefer; preference; preferred; prepped; prescribe; pressing; pressure; prevents; primarily; primary; proactive; problem; procedure; procedures; profitability; program; proper; protocol; provide; providers; put; quicker; quickly; rare; ready; recovery; region; reimbursed; reimbursements; relaxation; remain; removal; removed; removes; repair; repaired; reported; reputedly; requiring; responsible; retractor; revision; risk; role; room; roots; ruptures; safely; safety; same-day; scar; schedule; screw; screwed; selection; separate; similar; site; skilled; skin; sleep; solidly; sound; spasms; spinal; spine; spurs; stabilizes; staff; standard; stay; success; successfully; suited; surgeon; surgeons; surgeries; surgery; surgical; system; tables; takes; technique; tissue; trained; treat; tubular; type; typically; uniformly; unique; vacated; vertebrae; view; viewing; virgin; void; wake; weakness; well-orchestrated; worked; years; —

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