Microsurgical removal of herniated disc after cesarean section surgery
AbstractTrue herniated disc in pregnant women occurs in 1 out of 10,000 patients with low back pain. More than 15% of lumbar disc herniations lead to serious neurological deficits. A retrospective cohort study reported a low incidence of hernias requiring discectomy: 11 operations per 100,000 pregnant women.
This article presents a review of a clinical observation of microsurgical removal of a herniated disc after cesarean section in a 35-year-old patient admitted to the Lapino Clinical Hospital. On the 5th day, the patient was discharged in a satisfactory condition with recommendations for observation by an obstetrician-gynecologist, neurosurgeon and neurologist.
Conclusion. The management of pregnant patients with neurosurgical pathology involves an interdisciplinary integrated approach to diagnostic, delivery, and treatment methods. The development of unified algorithms for this group of patients will significantly improve maternal and perinatal outcomes, as well as provide the most favorable rehabilitation results.
Keywords: pregnancy; delivery; postpartum period; degenerative-dystrophic spinal disease; herniated disc
Funding. The study had no sponsorship.
Conflict of interest. The authors declare no conflict of interest.
For citation: Kurtzer M.A., Spiridonova E.I., Zvereva A.V., Konoplev B.A., Khvatova A.V., Kambiev R.L., Larina E.B., Semenova T.Yu., Medvedskaya A.K. Microsurgical removal of herniated disc after cesarean section surgery. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie [Obstetrics and Gynecology: News, Opinions, Training]. 2025; 13 (1): 109–13. DOI: https://doi.org/10.33029/2303-9698-2025-13-1-109-113 (in Russian)
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