COMPARATIVE ANALYSIS OF ENDOSCOPIC AND MICRODISCECTOMY FOR LUMBAR DISC HERNIATIONS IN THE CONDITIONS OF THE REPUBLIC OF UZBEKISTAN
Keywords:
intervertebral disc herniation; lumbar spine; endoscopic discectomy; microdiscectomy; comparative analysis; minimally invasive surgery; radiculopathy; Oswestry Disability Index; visual analogue scale; cost-effectiveness; Republic of UzbekistanAbstract
This prospective cohort study enrolled 124 patients who underwent lumbar disc herniation surgery at the multidisciplinary clinic of Samarkand State Medical University in 2024–2025. A comparative analysis of endoscopic (n=62) and microsurgical discectomy (n=62) was performed, assessing pain intensity (VAS), functional status (ODI), and direct medical costs. Both techniques demonstrated comparable clinical efficacy: at 12 months, VAS scores were 1.4±0.8 and 1.6±0.9 points, respectively (p=0.27). The endoscopic group showed significant advantages in reduced intraoperative blood loss (38.5±15.2 mL vs. 96.7±28.4 mL; p<0.001) and shorter hospital stay (2.1±0.6 vs. 4.3±1.1 days; p<0.001), despite longer operative time (68.4±12.7 vs. 61.2±10.5 min; p=0.01) attributable to the learning curve. Economic analysis using ICER confirmed the feasibility of implementing endoscopic technology in specialized hospitals of the Republic of Uzbekistan, considering reduced bed-days and earlier return to work.
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