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Fig. 5 | BMC Surgery

Fig. 5

From: Contralateral translaminar endoscopic approach for highly down-migrated lumbar disc herniation using percutaneous biportal endoscopic surgery

Fig. 5

Intraoperative endoscopic images of right approach. (a) Intraoperative endoscopic images of right approach. After making keyhole, central fissure of ligamentum flavum was identified at first (b). Removal of ruptured disc material can be performed safely using specialized hand-made retractor with pituitary forceps during retraction of traversing nerve root (c). The procedure is done when the full decompression of the dura and nerve roots are confirmed (d)

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