Endoscopic Spinal Surgery
Center : Nakornthon Absolute Spine Care
Article by : Dr. Sittipong Suttiudom
Herniated disc disease and spinal stenosis is one of the leading causes of back pain in many patients. These symptoms can be relieved or cured by supportive treatment such as bed rest and taking medications, Physical therapy, or steroid injections. However, some patients do not respond to the above treatments. Still suffering from back pain and unable to live normally or are prone to chronic back pain.
Surgery will be another option to treat these symptoms. Advances in medical technology and surgical techniques have transformed the treatment of spinal disease. This article describes endoscopic surgery, a new surgical technique, which is used at the Bumrungrad Spine Institute, the incision will be 8 millimeters small and can access the problem point and greatly reduces the damage of the surrounding tissues.
What is endoscope spinal surgery?
With standard surgery using microscope, the surgeon has to cut a healthy section of tissue to allow access to cut off the herniated disc and sometimes the incision may need to be enlarged to obtain the best vision of the surgery.
Similar to a small pipe with a diameter of 8 mm, with a lens attached at the end, with Optical fiber to aid vision and a small water pipe inside. All surgical instruments are inserted through this tube. Therefore, the incision is only 8 mm. The tip of the lens can be slightly tilted to help see the surrounding tissues.
Advantages of endoscopic surgery
- Small surgical wounds
- Less pain in surgical incision
- Low risk of infection
- Reduces the damage of fine tissue around the surgical area
- The patient recovers fast after the surgery and can go home within 24 hours.
- Less cost
Spinal disease that can be treated with endoscopic surgery
Cause of herniated discs which is responsible to support the spine can be damaged on impact, and due to ageing related to the wearing off the disc or disc degeneration and loss its flexibility. When an impact occurs, this will cause a swelling and pain or tear out, and pressure is applied over the nerve behind the narrowing spaces of the spine. When the bone deteriorates, it will cause stiffening together with the tendons, this cause constriction of the nerves running in the cavity
Both diseases can lead to these symptoms.
- Back pain in the lumbar area
- The pain has come to the coccyx, thighs, calves, back of the feet. Soles or toes
- Muscle weakness, numbness in the legs
- Endoscope Spinal Surgery Procedures
After the patient has anesthesia. The doctor will insert an endoscope through an 8 mm incision directly into the pinched nerve without cutting through the good muscles. Endoscopes allow doctors to see the nerves clearly and can cut off only the part where the nerve is pressed, whether will be pressed against the herniated disc or compression from the joint and any tendons. The entire procedure takes about 30-45 minutes, then the patient. Able to walk immediately after surgery
Indications for endoscope spinal surgery
Surgery is usually performed when there are the following indications: palliative care is not successful or has chronic pain or severe leg weakness or cannot control excretion, urination or stool.