ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025
Perioperative recognition and management of rare irrigation-related complications in unilateral biportal endoscopy under general anesthesia: two case reports.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Post-endoscopy subarachnoid hypertension syndrome: a case series in the recovery period after unilateral biportal endoscopic surgery under general anesthesia.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Epidemiology of spinal cord hypertension syndrome in water-mediated uniportal full endoscopic thoracolumbar surgery: a single-center experience.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Clinical and radiological predictors of adverse outcomes after unilateral biportal endoscopic surgery for short-segment degenerative lumbar spinal stenosis.Frontiers in surgery · 2026Article
- Dural tear with severe irrigation-related complications during unilateral biportal endoscopy under general anesthesia: a case series and literature review.Frontiers in medicine · 2026Article
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Authors and funding
6 authors.
Funding
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Abstract
backgroundUnilateral biportal endoscopy (UBE) is a widely used minimally invasive technique for treating lumbar disc herniation, employing continuous fluid infusion to maintain a clear surgical field. However, complications related to fluid infusion can occur rarely during or after the procedure, presenting significant challenges in perioperative management. CASE PRESENTATIONS: Here, we report two cases of postoperative irrigation-related complications. The first patient developed autonomic dysregulation, which rapidly progressed to a seizure. The second patient experienced acute respiratory failure, which posed an immediate life threat. Both patients were conservatively managed with sedation, analgesia, and respiratory support. The key therapeutic intervention was prompt dehydration to reduce spinal cord pressure. Both patients had a favorable recovery with no long-term sequelae.
conclusionsUBE is a highly effective, minimally invasive treatment, but irrigation-related complications can be life-threatening. This report highlights the need for anesthesiologists to promptly identify and manage such complications, offering valuable insights for clinical care in similar high-risk situations.
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