Meet Our Doctor
Dr. Paresh Bang
Consultant Spine Surgeon
Endoscopic Spine Surgery In Harda
Endoscopic spine surgery is a minimally invasive surgical technique use to treat various spine conditions, including herniated discs, spinal stenosis, and other spinal disorders. Unlike traditional open spine surgery that requires a larger incision and muscle dissection, endoscopic procedures involve smaller incisions and the use of specialized instruments and an endoscope, which is a thin, flexible tube with a light and camera.
Endoscopic spine surgery can be used to address a range of spine conditions, including herniated discs, spinal stenosis, foraminal stenosis, facet joint arthritis, and some types of spinal tumors.Due to the minimally invasive nature of the procedure and reduce trauma to surrounding tissues, patients may experience a faster recovery compare to traditional open spine surgery. Therefore,This can lead to a quicker return to normal activities.
How Is Endoscopic Spine Surgery Perform?
Patient Preparation:
- Before the surgery, the patient undergoes a thorough evaluation, including imaging studies such as MRI or CT scans, to precisely identify the location and nature of the spinal issue.Firstly, The patient is also brief on preoperative instructions.
Anesthesia:
- Endoscopic spine surgery can be perform under local or general anesthesia, depending on the specific procedure and patient preference. Thus,The anesthesia choice is discuss between the patient and the surgical team.
Positioning:
- Once, The patient is positione on the operating table, and the surgical area is cleaned and sterilized. Fluoroscopy (X-ray guidance) may be used to confirm the correct positioning of instruments during the procedure.
Incision(s):
- Small incisions, often less than one inch in length, are made over the affect area of the spine. Thus,The number and location of incisions depend on the specific procedure and the location of the spinal issue.
Dilating the Tissues:
- Firstly, A series of dilators are inserted through the incisions, gradually enlarging the surgical corridor. once, The dilators help create a path to the spine while minimizing disruption to surrounding muscles and tissues.
Insertion of the Endoscope:
- Once the surgical corridor is established, the endoscope, which is attach to a camera and light source, is insert through one of the incisions. The endoscope provides real-time, magnifying images of the internal structures of the spine on a monitor.
Endoscopic spine surgery offers the benefits
Reduce Muscle and Tissue Trauma:
- Endoscopic techniques are designed to minimize damage to the muscles and soft tissues along the surgical path. once,This can result in less postoperative pain and a potentially faster recovery compare to open surgery.
Smaller Incisions and Scars:
- Endoscopic procedures typically require small incisions (keyhole incisions) through which the endoscope .thus, specialized instruments are insert. Thus,This leads to smaller scars, which are cosmetically more appealing.
Reduced Blood Loss:
- Thus,Due to the smaller incisions and reduce tissue trauma, endoscopic spine surgery is associated with less blood loss compared to traditional open surgery.
Quicker Recovery Time:
- Patients undergoing endoscopic spine surgery may experience a faster recovery compared to open surgery. once,The reduced trauma to surrounding tissues contributes to quicker healing and a shorter hospital stay.
Lower Risk of Infection:
- Firstly The smaller incisions and reduce exposure of internal tissues may be associated with a lower risk of surgical site infections compare to open surgery.
Benefits of Endoscopic Spine Surgery
- Minimally Invasive: Smaller incisions lead to less tissue damage, reduced scarring, and faster recovery times compared to traditional open surgery.
- Reduced Pain and Discomfort: Patients often experience less postoperative pain and a quicker return to normal activities.
- Shorter Hospital Stay: Many procedures can be performed on an outpatient basis, allowing patients to go home the same day.
- Lower Risk of Complications: The reduced surgical trauma typically results in fewer complications, such as infection or blood loss.
Common Indications for Endoscopic Spine Surgery
- Herniated Discs:
- Removal of herniated portions of the disc to relieve pressure on spinal nerves.
- Spinal Stenosis:
- Decompression of narrowed areas in the spinal canal or foraminas to alleviate nerve compression.
- Degenerative Disc Disease:
- Treatment for disc-related pain and symptoms through disc removal or stabilization.
- Spinal Tumors:
- Removal of tumors that are compressing the spinal cord or nerves.
- Spondylolisthesis:
- Stabilization of a vertebra that has slipped forward over another.
Types of Endoscopic Spine Surgery
- Endoscopic Discectomy:
- Removal of herniated disc material using endoscopic techniques. The surgeon makes a small incision and uses the endoscope to visualize and remove the disc fragment compressing the nerve root.
- Endoscopic Laminectomy:
- Removal of part of the vertebra (lamina) to relieve pressure on the spinal cord and nerve roots. This procedure can help treat conditions like spinal stenosis.
- Endoscopic Foraminotomy:
- Widening the openings where the nerve roots exit the spinal canal (foramina) to the relieve nerve compression.
- Endoscopic Spinal Fusion:
- Although less common, this technique can stabilize the spine by fusing vertebrae together using minimally invasive methods.
The Surgical Process
- Preoperative Evaluation:
- Comprehensive evaluation with imaging studies (MRI or CT scans) to determine the exact location and nature of the spinal issue.
- Anesthesia:
- Generally performed under local anesthesia with sedation or general anesthesia, depending on the complexity of the procedure or patient preference.
- Incision:
- A small incision (typically 1-2 cm) is made, allowing access to a spine.
- Endoscope Insertion:
- The endoscope is inserted through the incision, providing real-time visualization of the surgical site on a monitor.
- Surgical Procedure:
- The surgeon uses specialized instruments to perform the necessary procedure, such as removing disc material, decompressing nerves, or stabilizing the spine.
- Closure:
- The incision is closed with sutures or adhesive strips, or a dressing is applied.
Recovery
- Postoperative Care:
- Patients are monitored for a short period after surgery and may go home the same day.
- Pain management and instructions for activity limitations will be provided.
- Rehabilitation:
- Physical therapy may be recommended to strengthen the back and improve mobility.
- Return to Activities:
- Many patients can resume light activities within a few days and return to normal activities within weeks, depending on the procedure.
Risks of Endoscopic Spine Surgery
While endoscopic spine surgery is associated with fewer complications than traditional open surgery, it still carries some risks, including:
- Infection.
- Nerve damage: This can result in increased pain, weakness, or neurological deficits.
- Bleeding.
- Incomplete relief of symptoms: Some patients may not experience the desired outcomes, and additional procedures may be necessary.Contact Us
Conclusion
Endoscopic spine surgery offers a less invasive option for treating various spinal conditions, with benefits that include reduced pain and quicker recovery times. If you are considering this type of surgery, it is essential to consult with a qualified spine surgeon who specializes in minimally invasive techniques. Visit Our Hospital