What is Endoscopic Spine Surgery ?
Until recently spine surgeries have always been performed in traditional open way. When we say open spine surgery ,we imply that opening of the spine from the back or from the front or sometimes from the side and then physically correcting the problem under direct visualisation of spine through naked eyes.
In the last three decades microscope came in and people started to use smaller incisions to perform spine surgery and that was called a mini open spine surgery, or minimally invasive spine surgery, or microscopic spine surgery, or Microdiscectomy.
The latest in this line is endoscopic spine surgery.in this sine surgery there there is no need to open/Mini open the procedure only a small hole is sufficient to slide the endoscope inside the spine and then perform the surgery through that hole with the help of the video camera which gives the output on the screen the surgeon performs endoscopic discectomy under direct vision over the computer screen.
What are the different types of endoscopic spine surgery ?
Endoscopic spine surgery is of principally two types one is a classical endoscopic spine surgery which is done through Transforaminal route and the other one is interlaminar Spine surgery which is sort of extension of the minimally invasive spine surgery.
- Transforaminal endoscopic spine surgery under local anaesthesia : – In this type of procedure patient is kept awake in the whole procedure and the disc is removed by going through the the natural whole of the spine which is called spinal foramen.
- Internal spinal endoscopic : – Interlaminar spinal endoscopy is a sort of extension of the Mini open microscopic procedure as it is done from the back and the similar steps are followed however it is done over looking at the screen and underwater so the bleeding controland vision is better in terminal in Interlaminar endoscopy then using the microscope.
Benefits of Endoscopic Spine Surgery over open spine surgery.
Endoscopic spine surgery offers multiple benefits as compared to traditional open spine surgery. This explains the Rapid momentum of the gain in popularity of endoscopic spine surgery as compared to traditional open spine surgery.
- Endoscopic spine surgery does not require general anaesthesia to be administered to the patient it. Instead local anaesthesia sufficient to do the procedure comfortably
- In the most of the the procedures spinal endoscopy does not require stitches or required only stitches at the surgical site
- As the Transformer landis copy does not require anaesthesia it is much more safe procedure as compared to open surgery or microdiscectomy
- Blood loss in this procedure is minimal as as it is done under
- Constant water pressure. due to constant water pressure the the visibility e is very clear in endoscopic spine surgery and there is no need to wash again and again in order to identify the tissues that leads to very minimal chance of of any injury to the nerds.
- Endoscopic spine surgery list two very short Hospital stay as compared to microscopic surgery and it sometimes a patient can be discharged the same day after the procedure.
How safe is Endoscopic Spine Surgery in Delhi, India .
The safety profile of endoscopic spine surgery is very very high as compared to open spine surgery as well as microscopic fine surgery. This is because of the reason that microscopic find surgery as well as open spine surgery requires general anaesthesia to be administered to the patient which itself entertains few risks.
However transform an endoscopy is done under local anaesthesia which completely takes away the risks of general anaesthesia administration.
How successful is Endoscopic Spine Surgery .
Time of the endoscopic spine surgery greatly varies. However the average time taken to endoscopic discectomy is from 30 minutes to 2-3 hours. It depends upon the type of this condition the hardness of herniation the number of of months or years from which the patient is suffering etc.
How much time does it take in Endoscopic Spine Surgery .
The success rate of endoscopic spine surgery is very very high because the excellent visualisation allows the surgeon to perform a verifying job which is almost impossible to be done under any other circumstances.
Frequently Asked Questions
Ans – Yes, endoscopic spine surgery is a very safe alternative to open spine surgery provided the current pathology permits the use of spine endoscope to treat the the same.
Ans – The cost of endoscopic spine surgery in India greatly varies as there are multiple procedures under the name of endoscopic spine. surgery and multiple type of Equipments.
Ans – Multiple array of spinal problems can be treated with endoscopic spine surgery but only to name the most common pathologies are slip disc, aks PIVD, disc protrusion, disc extrusion, disc herniation, ligamentum flavum hypertrophy, lumbar Canal stenosis,Facet joints cysts and a few others.
Ans – There is nothing called as best surgeon in India. Any surgeon who knows his job and is properly trained to perform the procedure can be best to do that particular procedure.
Ans – Endoscopic spine surgery success rate in india is very very high as compared to open spine surgery as well as a microdiscectomy surgery. However endoscopic spine surgery success ratio also depends upon the equipment used in surgery and the training of the surgeon who is performing the surgery.
Ans – Practically speaking endoscopic spine surgery is the procedure which offers minimum amount of risk as compared to any of the spine surgery because this surgery is done without giving general anaesthesia for the patient and the patient is totally awake with full consciousness of his nerves during the procedure. Endoscopic spine surgery risk is minimal as it is not possible to Injure .The Nerves as a patient is away and will immediately tell if any assault to the nerve happens. That is to say that the patient acts as a live monitor and hence the risk of endoscopic spine surgery is very very low.
Ans – There are multiple benefits of endoscopic sinus surgery as compared to open spine surgery .
- It is a stitchless procedure
- It Does not require any general anaesthesia
- It can be done as a daycare procedure that is a patient can get discharge the same day of the procedure
- There is no risk of the injury to the nerve as patient is awake and serve as a live monitor as explained above.
However endoscopic spine surgery cost in india is more as compared to the Open Spine Surgery.
Dr Devashish Sharma - Best Spine Surgeon in Delhi
Dr Devashish Sharma
Consultant, Department of Spine
MBBS, Post Graduate (Orthopaedics), Clinical Att.
Fellow Endoscopic Spine – TESSYS – Erfurt, Germany
Fellow Spine Training – NewYork Presbyterian Hospital, USA
Dr Devashish Sharma is top rated spine surgeon in Delhi India. He is specialised in Endoscopic Spine Surgery, Minimally invasive Spine Surgery and other complex spine surgery.
He also served as spine specialist at India’s leading hospitals including APOLLO HOSPITAL, New Delhi, Jaypee Hospital Noida, Bone Hospital Agra and Sanjeevini Hospital Greater Noida.
He did his MBBS from Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttarakhand, followed by Post Graduate training in Orthopaedics from Santosh Medical College & Hospitals (SMCH), Uttar Pradesh.
He has also received training as a Clinical Attachment fellow at Northwick Park Hospital & Central Middlesex Hospital (North-West Healthcare) LONDON (U.K.)
Dr Devashish is one of the best spine specialist in Delhi with 100% Success Ratio. Say hello to a normal life again… Get the best in class spine treatment in Delhi.
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