Dr. Paresh Bang | Matruchhaya Spine Clinic

Meet Our Doctor

Dr. Paresh Bang

M.B.B.S, D.orth, DNB, Fellow in Spine Surgery
Consultant Spine Surgeon
Dr. Paresh Bang is a young and dynamic Spine surgeon who is rendering his services in Nagpur. He has an experience of more than 12 years in the treatment of Spine problems.

Matruchhaya Spine Clinic

Max Super Speciality Hospital

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Endoscopic Spine Surgeon In Gondia

Endoscopic Spine Surgeon

An endoscopic spine surgeon is a specialist who performs minimally invasive spine surgery using an endoscope—a small, flexible tube with a camera and light at the end—to treat spinal conditions, including sciatica, herniated discs, and spinal stenosis. This approach allows the surgeon to access the spine through tiny incisions, reducing damage to surrounding tissues and promoting quicker recovery compared to traditional open surgery.

Endoscopic discectomy is most commonly done procedure; however, endoscopic spinal stenosis decompression and endoscopic spine fusion surgeries are also done. Many of these surgeries can be done under local anesthesia and as day care procedure. Endoscopic spine surgeries provide all benefits of minimally invasive spine surgery.
Types of Endoscopic Spine Surgeries:

Endoscopic Discectomy: Lumbar disc herniation is the most common indication of endoscopic spine surgery. Endoscopic discectomy involves removing only the herniated part of the disc. It can be done as

1) Trans-foraminal endoscopic discectomy or

2) Interlaminar endoscopic discectomy, depending upon the location of a herniated disc and the surgeon’s preference.

Endoscopic Spine Decompression: Lumbar spinal stenosis can be decompressed using a wider endoscope and removing tissue causing pressure on the spinal cord (ligamentum flavum, overgrown fact joints, herniated disc).

Endoscopic Lumbar Fusion: A complete endoscopic discectomy is performed. Bone graft and cage are inserted in intervertebral space using a small tube under fluoroscopy guidance. Percutaneous pedicle screws are then inserted using small holes in skin.

Endoscopic Disc Debridement: Infective discitis caused by bacteria or tuberculosis can be debrided with the help of spine endoscope. This reduces pain and also provide tissue for further testing.

Benefits of Endoscopic Spine Surgery:

  • Minimally Invasive: Small incisions, usually less than 1 cm, reduce scarring and minimize muscle damage.
  • Less Pain and Faster Recovery: Due to the minimal tissue disruption, patients often experience less postoperative pain and can recover more quickly.
  • Outpatient Procedure: Many endoscopic spine surgeries are performed on an outpatient basis, allowing patients to go home the same day.
  • Reduced Risk of Infection: Smaller incisions lower the risk of postoperative infections compared to open surgeries.
  • Precise Visualization: The camera on the endoscope provides detailed visualization of the spinal structures, allowing for precise treatment.
Disadvantages/ Limitations of Endoscopic spine Surgery:
  • Specialized training is required.
  • Specialized OT setup and equipment are required.
  • Surgeries are slightly costlier due to use of specialized instruments.
  • Sometimes, an adequate decompression is not achieved by endoscopic procedure.
  • Not all pathologies are treatable by endoscopic techniques.Contact Us

Conditions Treated by Endoscopic Spine Surgeons:

  • Herniated or Bulging Discs: Removal of disc material compressing the nerve.
  • Spinal Stenosis: Decompression of the spinal canal to relieve nerve pressure.
  • Sciatica: Caused by compression of the sciatic nerve, which can be relieved through endoscopic techniques.
  • Degenerative Disc Disease: Treatment of worn-out discs that cause pain and discomfort.
  • Bone Spurs: Removal of bone overgrowth causing nerve compression. Visit Our Hospital
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