Discectomy
Direct surgical removal of herniated disc material — the standard open approach when microdiscectomy is not sufficient.
Discectomy
Removing the herniated fragment under direct vision — for cases where open access provides the safest and most effective decompression.
Direct visualisation. Reliable decompression for all herniation types. Two to three nights in hospital. Leg pain relief typically begins quickly.
What Is It?
Open discectomy approaches the herniated disc with direct surgical access — the surgeon sees the nerve root and the offending fragment directly, and removes it under full visualisation. Used for cases where the anatomy, size of herniation, or extent of nerve involvement makes a limited approach less reliable.
Before Surgery
MRI reviewed to confirm the herniation level, size, fragment migration, and nerve root involved. CT may be used for additional bony detail. Standard pre-operative clearance and fasting.
During Surgery
General anaesthesia. Posterior midline incision. Muscle retraction to expose the lamina. Partial laminotomy where needed. Nerve root identified and protected, herniated fragment removed under direct vision. One to two hours.
After Surgery
Hospital stay: two to three days. Walking with assistance the day after surgery. Leg or arm pain from nerve compression improves quickly in most patients. Wound care instructions provided at discharge.
Recovery
Desk work: four to six weeks. Physical activity: six to ten weeks. Return to heavy work: two to three months. Nerve recovery — residual numbness or weakness — continues progressively over weeks to months.
Dr. Viswanath's Approach
Open discectomy is used when the anatomy or fragment size makes it the most reliable approach. Microdiscectomy is preferred for most standard herniations. The technique is selected based on MRI findings, not a default protocol. Patient safety and complete decompression are the priorities.
Disc pain that
isn't getting better?
A consultation and MRI review will determine the right surgical approach for your herniation.