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Biomedical subjects

H J Goald

Publications and source records attributed to H J Goald.

7 recordsLinked to original sources
PubMed1986

A new microsurgical reoperation for failed lumbar disc surgery.

This paper reports a consecutive series of 103 patients operated upon over a 4.2-year period (from November 1978 through January 1983). These patients were initially operated upon by other orthopedic and neurologic surgeons without relief of their sciatic pain. The average duration of symptoms prior to microsurgical reoperation was 35.9 months. The average number of reoperations per patient was 1.4. The median follow-up time was 27 months (range 1-50 months). Preoperative evaluation included examination, CAT scan, myelogram, and electromyogram. Average postoperative hospital stay without spinal fusion was 5.1 days. Two techniques were used: a unilateral decompression and a bilateral intersegmental decompression. Results are compared. A classification of operative findings is given. Eight patients in the series received spinal fusion as part of their procedure. Microsurgical reoperation benefited 80.6% of the 103 patients.

Adult↗
PubMed1980

Microlumbar discectomy: follow-up of 477 patients.

A survey of the surgical experience with microlumbar discectomy in 477 patients over a 4.3-year period is presented. A good result was obtained in more than 90% of the patients and morbidity was negligible. Photographs of the various phases of the microsurgical procedures are included. This conservative operation is a worthwhile alternative in the treatment of herniated lumbar discs because the postoperative pain is minimal and does not require treatment with narcotics, early ambulation is possible, there is no need for transfusion, the surgery is brief, and the postoperative stay is only about 3 days.

Adult↗
PubMed1979

Microsurgical removal of lumbar herniated nucleus pulposus.

An operating microscope and special instruments make it possible to remove a herniated nucleus pulposus without laminectomy through a 1 inch skin incision. In a follow-up study of 200 patients operated upon over a two and three-fourths year period, the cure rate has been 96 per cent and the postoperative stay reduced to less than three days. One year after operation, all noncompensation patients were working as were 80 per cent of the compensation patients.

Adolescent↗
PubMed1978

Microlumbar discectomy: followup of 147 patients.

Microlumbar discectomy is a new surgical technique for the treatment of herniated lumbar disc. The operating microscope and special instruments enable the surgeon to remove the herniated portion of the disc without laminectomy through a 1-inch skin incision. A transfusion was never necessary. In a followup study of 147 patients operated on over a 2 1/4-year period, the surgical cure rate was 96%, and the postoperative hospital stay was reduced to less than 3 days. One year after surgery, all noncompensation cases were working as were 80% of the compensation cases. Microlumbar discectomy is safe, effective, and economic for the patient.

Adolescent↗