TY - JOUR T1 - An Overview on Lumbar Disc Herniation on Surgical Management Approach A1 - Mokhtar Ahmed Alsayed A1 - Omar Mohammed A Alhassan A1 - Ahmed Mosa Alzahrany A1 - Hatim Ibrahim Mohammed Mutanbak A1 - Abdullah Abdulrahman Alamoudi A1 - Siraj Mahmoud Eid A1 - Dania Tawfik Shaikh A1 - Ziyad Ahmed Alhumaid A1 - Abdulaziz Saud Alshafai A1 - Mohammed Ali H Zarei JF - World Journal of Environmental Biosciences JO - World J Environ Biosci SN - 2277-8047 Y1 - 2022 VL - 11 IS - 1 DO - 10.51847/OJ2dQINEwx SP - 24 EP - 29 N2 - Lumbar disc herniation (LDH), the most frequent cause of sciatica, is a localized displacement of disc material beyond the usual boundaries of the intervertebral disc space, affecting 1% to 5% of the population yearly. Physiotherapy, medicinal therapy, and/or an epidural corticosteroid injection are nonsurgical first-line therapies for sciatica. However, compared to conservative treatment, surgery provides faster symptom alleviation. Over 40% of patients allocated to conservative treatment require surgery within two years. Nevertheless, surgical intervention in such cases is accompanied by several heated debates. The objective of the study is to look into the published works of literature that evaluated the role of surgery in LDH cases. Articles were selected through the use of the PubMed database in which the following points were put in ((“lumbar disc herniation"[Mesh]) AND (“surgical intervention” [Mesh]) OR (“discectomy"[Mesh])). It has been found that surgical intervention in patients with LDH resulted in improved patient-reported outcomes, including subjective work capacity and quality of life, when compared to non-operative treatment. When compared to open discectomy, minimally invasive discectomy is linked to reduced blood loss, shorter operating times with no increase in overall complications that resulted in reoperation or wound infection in LDH cases. However, minimally invasive discectomy comes with a steeper learning curve. UR - https://environmentaljournals.org/article/an-overview-on-lumbar-disc-herniation-on-surgical-management-approach-a1wdy9fuzy5cwgc ER -