Did a ube disc hernia today, things went great

Here are a few technical insights that might be useful for a UBE discectomy procedure:
1. Port Placement and Angle

• Placing the ports at an optimal angle is crucial for a good working corridor. Typically, one port serves as the viewing port, and the other as the working port. Placing them in a triangulated fashion helps with instrument maneuverability.
• Ensuring an optimal distance between the ports can also help in minimizing instrument collision, which can make the procedure smoother.

2. Creating a Safe Working Space

• Clearing soft tissue around the foramen and epidural space with radiofrequency ablation or blunt dissection early on can prevent excessive bleeding and give better visualization.
• Using specialized instruments like a diamond burr for bony work can allow precise removal of bone while protecting neural elements.

3. Disc Fragment Removal

• Once the disc space is reached, using pituitary forceps or microforceps to remove herniated fragments is key. Tactile feedback here is important to ensure only the targeted fragments are removed.
• Gently probing the annulus and ensuring no residual fragments are left can help prevent recurrence.

4. Bleeding Control

• Bipolar cautery or hemostatic agents help manage any bleeding, especially around the venous plexus, which can sometimes obscure the view.

5. Post-Procedure Verification

• Once decompression is complete, it can help to confirm the nerve root is free and mobile, particularly in cases of severe compression.

Do any of these line up with your experience?