A herniated disc is a health condition that can greatly interfere with daily activities, especially when the pain radiates down to the legs. Many patients find it difficult to walk, and in severe cases, some even need a wheelchair due to the intense pain.
Patients who have previously undergone spinal surgery also face the risk of recurrent symptoms. One such case involved a patient who had spinal surgery with metal implant placement years earlier. After a long recovery, the symptoms eventually reappeared.
Over the past year, the patient suffered from persistent lower back pain radiating to the thighs and calves, particularly when walking long distances. MRI results revealed another herniated disc, not only caused by the spinal disc but also by scar tissue (fibrosis or keloid) formed from the previous surgery.
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Minimally Invasive Microdiscectomy at Two Points
After consultation at Mandaya Royal Puri Hospital with dr. Christian Permana, Sp.BS, FTB, FINSS, FICS, the patient was advised to undergo minimally invasive microdiscectomy. The procedure targeted two points, L4-L5 and L5-S1, to release the compressed nerves caused by scar tissue.
Using a surgical microscope, the operation required only a small incision of about 4–5 cm. The existing metal implant from the previous surgery remained intact, as the focus was solely on releasing the nerve compression.
Post-Surgery Recovery
Following surgery, the patient experienced significant improvement. The radiating pain in the legs gradually subsided, and previously stiff muscles became more relaxed. The physiotherapist also observed reduced nerve tension.
Beyond medical treatment, the patient appreciated the doctor’s clear and empathetic explanations. The supportive medical team provided moral encouragement, making the recovery process more reassuring and comfortable.
This case demonstrates how minimally invasive microdiscectomy at Mandaya Royal Puri Hospital offers an effective solution for herniated disc, even in patients with a history of prior spinal surgery. With this modern technique, the procedure can be performed with smaller incisions, lower risks, and faster recovery, enabling patients to return to their activities more comfortably.
dr. Christian Permana: Neurosurgeon Specializing in Herniated Disc Treatment
dr. Christian Permana, Sp.BS, FTB, FINSS, FICS, is a neurosurgeon with extensive expertise in spine surgery. He earned his medical degree from the Faculty of Medicine at Atma Jaya Catholic University, followed by a neurosurgery specialization at Padjadjaran University.
To further enhance his skills, he pursued several fellowship programs, including Spine Surgery at the Indonesian College of Neurosurgery, Ege University Hospital in Turkey, and the National Brain Hospital Indonesia. He also attended the Course on Biportal Endoscopic Spine Surgery at Sae-um Hospital in South Korea.
Beyond spine surgery, dr. Christian completed a Fellowship in Microscopic and Endoscopic Neurosurgery for Cerebrovascular Disease and Brain Tumors at Nagoya Daini Red Cross Hospital in Japan, strengthening his experience in handling complex neurosurgical cases.
He is recognized as an expert in minimally invasive treatments for herniated disc, including:
- Percutaneous Laser Disc Decompression (PLDD)
- Percutaneous Endoscopic Lumbar Discectomy (PELD)
- Percutaneous Stenoscopic Lumbar Decompression (PSLD)
- Anterior Cervical Discectomy and Fusion (ACDF)
- Microdiscectomy
Consultation Schedule with dr. Christian Permana at Mandaya Royal Puri Hospital
- Tuesday: 13.00 – 17.00 WIB
- Thursday: 13.00 – 17.00 WIB
- Friday: 13.00 – 17.00 WIB
- Saturday: 13.00 – 17.00 WIB
For easier access to Mandaya Royal Puri Hospital, you can use the Chat via WhatsApp, Book Appointment, or Care Dokter App (available on Google Play and App Store) to simplify your visit, check queue numbers, and get complete information.
