Microscopically Assisted Percutaneous Nucleotomy (MAPN)
What is it?
Microscopically Assisted Percutaneous Nucleotomy (MAPN) is a sophisticated surgical technique used to treat herniated discs in the spine, particularly in the lumbar region. The procedure is designed to alleviate pain and other symptoms caused by a herniated disc pressing on spinal nerves. The MAPN procedure is centered around removing only the portion of the spinal disc that is causing nerve compression. This pressure can result in pain, numbness, or weakness, often radiating to other parts of the body.
Patients with herniated discs causing significant pain or neurological symptoms, such as sciatica, who have not found relief with conservative treatments like physical therapy or medication, may be suitable candidates for MAPN.
Recovery typically involves a brief period of rest followed by a gradual resumption of activities. Many patients notice an immediate improvement in symptoms, particularly those related to nerve compression. Physical therapy may be recommended to strengthen the back and improve flexibility, contributing to a smoother recovery and minimizing the risk of future spinal issues.
Procedure
In MAPN, a small incision is made near the affected disc, and a needle is inserted. This minimally invasive approach reduces tissue trauma compared to traditional open surgery.
Microscopic Assistance: The use of a microscope or an endoscope allows the surgeon to have a magnified and clear view of the herniated disc and surrounding structures. This visualization ensures precise removal of the herniated material while minimizing the risk to nearby healthy tissue and nerves.
Percutaneous Nucleotomy: The term ‘percutaneous’ refers to the procedure being done through the skin without the need for large incisions. Through the needle, specialized instruments are used to remove the herniated portion of the disc, effectively decompressing the affected spinal nerve.
Due to its minimally invasive nature, MAPN often results in a quicker recovery, less postoperative pain, and a faster return to daily activities. Additionally, by focusing only on the problematic part of the disc, the overall structure and stability of the spine are preserved.