Percutaneous and endoscopic adhesiolysis

Low back and leg pain may be due to many causes including scarring in the epidural space. Scar tissue often causes irritatedswollen and inflamed nerves, which can cause pain. Adhesiolysis eliminate the pain-causing effects of scar tissue by releasingor decompression of a nerve from scar tissue. Percutaneous adhesiolysis is a safe and effective procedure, while epiduroscopyis a minimally invasive technique that offers diagnostic and therapeutic advantages in cases of chronic low back pain andradiculopathy. The aim of this review is to describe the comparison of percutaneous and endoscopic procedures in the lysis ofadhesions in epidural fibrosis in terms of indications, contraindications, complications, technique, and efficacy.

Perkütan ve endoskopik adezyolizis

Bel ve bacak ağrısı epidural boşlukta oluşan skar dokusu da dahil olmak üzere birçok sebepten kaynaklanabilir. Skar dokusu sıklıkla hassas, ödemli ve enflamasyonlu sinirlere neden olur ve bu da ağrıya neden olabilir. Epidural adezyolizis, skar dokusundan sinirin serbestlenmesi veya dekompresyonu ile skar dokusunun ağrıya neden olan etkilerini ortadan kaldırır. Perkütan adhesiyolizis güvenli ve etkili bir prosedür iken, epiduroskopik adezyolizis kronik bel ağrısı ve radikülopati vakalarında tanısal ve terapötik avantajlar da sunan minimal invaziv bir tekniktir. Bu derlemenin amacı epidural fibroziste adezyolizis yöntemi olan perkütan ve endoskopik prosedürlerin endikasyonlar, kontrendikasyonlar, komplikasyonlar, teknik ve etkinlik açısından karşılaştırılmasını tanımlamaktır.

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