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Complications & Management
- Transient dysesthesia or paresthesia from dorsal root ganglion irritation — usually temporary; managed with medications (gabapentin, pregabalin), steroids.
- Dural tear — rare; small tears managed conservatively or endoscopically repaired; larger may require conversion to open repair.
- Infection — rare; treat with antibiotics, drainage if abscess.
- Hematoma/epidural bleeding — monitor and evacuate if neurological compromise.
- Nerve root injury — rate low but can cause persistent deficits; immediate recognition and management crucial.
- Recurrence of herniation — treat per standard (repeat endoscopic discectomy or open surgery).
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