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Case: L4-L5 Large Central Recurrence Disc Herniation. Full-endoscopic spine surgery lumbar decompression performed by Dr. Tamer Tekin Lumbar Disc Herniation (LDH) is one of the most common spine pathologies with a worldwide distribution characterized mainly by low back pain (LBP) and sciatica. First line therapeutic approach includes conservative treatment with analgesics and physical therapy. Refractory cases may warrant surgical intervention. The main indication for surgical treatment is persistent symptomatology over 3 months of conservative therapy. Surgical intervention offers more rapid pain relief, compared to conservative management. Microdiscectomy is considered to be the gold standard method for the treatment of LDH. However, the evolution in spine surgery has led to more minimally invasive techniques such as full endoscopic discectomy (FED). This is a fairly new minimally invasive technique, introduced in the recent years, that gains ground among spine surgeons universally. According to medical literature, FED using Transforaminal Endoscopic Spine System (TESSYS) technique is associated with less soft tissue trauma and paraspinal muscles injury, reduced blood loss, shorter hospital stay, less cost of hospitalization and earlier return to daily activities. In a recent study Kapetanakis et al. investigated health-related quality of life after FED using TESSYS technique, showing a significant postoperative improvement. Contact : +90 541 539 5979 E-mail: [email protected] Social Media: @drtamertekin www.drtamertekin.com