[Lumbar disk herniation with surgical option: general versus local anesthesia. Round table].

Abstract

Lumbar disc hernia is a frequent pathology whose treatment remains essentially surgical. The type of anesthesia can be general anesthesia with intubation and controlled ventilation, both mandatory due to the position, peridural or spinal anesthesia. The usual position is knee-chest position which impairs circulation and ventilation if some precaution are not taken. Spinal anesthesia has been chosen in more than 40% of the patients by Lille CHU Team. This choice is justified by the important level of satisfaction of the patients and the absence of complications due to the anesthesia in a series of 1871 consecutive spinal anesthesia for lumbar disc surgery.