Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
Dr. Zvi Cohen is the Director of the Neurosurgery Department at Sheba Medical Center. He was recently recognized in Forbes Israel’s Best Doctors list for 2025. Dr. Cohen specializes in treating complex brain, pituitary, and spinal cord tumors. He founded the brain tumor tissue bank at Sheba to support oncological research. Dr. Cohen is board-certified in neurosurgery and leads clinical trials for malignant brain tumors.
Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
Dr. Alon Friedlander is a leading orthopedic spine surgeon listed among Israel’s Top Doctors by Forbes. He serves as the Director of the Orthopedic Department at Sheba Medical Center. Dr. Friedlander treats complex spinal disorders in both adult and pediatric patients. He uses both minimally invasive and open surgical techniques for precision care.
Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
The procedure involves removal a herniated disc to lessen spinal nerve pressure, easing pain, enabling body movement.
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"},"690":{"operation":{"name":"Removal of herniated disc with preoperative diagnostic","alias":"removal-of-herniated-disc","use_for_listing":true},"country_price":{"US":{"amount":25000,"max_amount":45000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IL":{"amount":17000,"max_amount":21000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":5000,"max_amount":11000,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8500,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":9500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"IL":true,"TR":true,"TH":true,"AT":false},"description":"This operation involves diagnosing and extracting a protruded spinal disc, yielding pain relief and improved mobility.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":21657}},"direction":{"id":2,"name":"Neurosurgery","alias":"neurosurgery"},"illness_kind":{"id":2,"name":{"en":"Neurosurgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Single-level lumbar microdiscectomy; desk work earlier (about 2-3 weeks), physically demanding work later (about 6 weeks or more)."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Major perioperative events after primary lumbar discectomy: dural tear, deep infection, new nerve injury, symptomatic epidural hematoma. Minor events excluded."},"contraindications":["Active local or systemic infection (relative until treated)","Uncorrected bleeding disorder or unmanageable anticoagulation (relative)","Medical unfitness for general anesthesia, e.g. severe cardiopulmonary disease (relative)","Pregnancy (relative, usually deferred unless urgent)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Single-level lumbar microdiscectomy; same-day discharge or one night of observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":12,"unit":"weeks","qualifier":"Walking early; graded core strengthening from about 4-6 weeks; heavy lifting and contact sports typically after 8-12 weeks."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Leg pain usually improves within days to weeks; nerve recovery and numbness or weakness may continue for months."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"Usually after the wound check at about 10-14 days; earlier travel only with surgeon approval."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Counted from surgery; may include suture or staple removal."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Counted from surgery; review of neurological recovery and activity progression."}}],"indications":["Radiculopathy from lumbar herniation persisting after 6+ weeks conservative care","Severe or disabling leg pain with concordant imaging findings","Progressive or significant motor weakness from nerve root compression","Cauda equina syndrome (urgent)","Recurrent episodes of disabling radicular pain from a confirmed herniation"],"main_risks":["Recurrent disc herniation","Infection","Dural tear with cerebrospinal fluid leak","Nerve root injury or persistent numbness or weakness","Bleeding or hematoma","Persistent or recurrent back or leg pain","Wrong-level surgery (rare)","Anesthesia-related and thromboembolic risks"],"pain":"Leg pain often improves quickly; incision and back soreness are mild to moderate for the first 1-2 weeks and controlled with oral analgesics.","preparation":["Recent MRI or CT confirming the herniation and level","Pre-anesthesia assessment and routine blood tests","Review of current medications and allergies with the surgical team","Fasting before general anesthesia as instructed","Stop smoking where possible","Arrange transport and help at home","Instructions on stopping anticoagulants/antiplatelet drugs (and NSAIDs) before surgery"],"recovery_timeline":[{"phase":"Day 0-3","description":"Mobilization the same day; wound care and oral analgesia; leg pain often relieved.","restrictions":["Avoid heavy lifting and bending","Avoid prolonged sitting"]},{"phase":"Weeks 1-2","description":"Increasing walking; wound heals; sutures removed if non-absorbable.","restrictions":["No lifting over a few kilograms","Avoid driving while on opioid analgesics"]},{"phase":"Weeks 2-6","description":"Return to desk work; start gentle physiotherapy and core exercises.","restrictions":["Avoid heavy lifting and repeated twisting"]},{"phase":"Weeks 6-12","description":"Gradual return to physical work and sports as cleared by the surgeon.","restrictions":["Increase loads gradually"]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Time to ordinary daily activities after single-level microdiscectomy; return to work takes longer, 14-42 days."},"result_longevity":"Many patients keep symptom relief long term, but recurrent herniation at the same or another level can occur and no fixed duration can be promised.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation, mostly for same-level recurrence, over 2 to 10 years; typically about 5% in published series."},"scars":"Small midline or paramedian lower back incision, typically about 2-3 cm for microdiscectomy, fading over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation for a single-level discectomy."},"stages":[{"code":"surgery","label":"Single-level discectomy surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single-stage procedure; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patients reporting good-to-excellent outcome or satisfaction with substantial leg pain relief","value":85,"unit":"percent","horizon":"1-2 years","evidence_status":"limited","population":"Adults after primary lumbar discectomy or microdiscectomy for herniated disc with radiculopathy"},"techniques":[{"name":"Microdiscectomy (open, microscope-assisted)","suits_whom":"Typical lumbar herniation with radiculopathy","recovery":"Usually same-day or overnight stay; return to desk work in about 2-3 weeks."},{"name":"Endoscopic discectomy","suits_whom":"Selected herniations at suitable levels; requires endoscopic expertise","recovery":"Small incision; recovery is often similar or somewhat quicker."},{"name":"Tubular (minimally invasive) discectomy","suits_whom":"Selected uncomplicated herniations","recovery":"Less muscle disruption; recovery is comparable to microdiscectomy."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Single-level lumbar microdiscectomy, operative time including anesthesia."},"initial_assessment_documents":["Lumbar spine MRI report and images","Neurosurgeon or spine specialist clinic notes","Summary of prior conservative treatment","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days until the wound check, then fly home."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=israel/city=ramat-gan/procedure=udalenie-diska-poyasnichnogo-otdela-pozvonochnika-diskektomiya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":9},"manualSeo":[],"updatedAt":"2026-11-11T17:20:09.231Z","activeCountries":["IL","TR","AT","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}