DR SAYUJ -BEST BRAIN & SPINE SURGEON -HYDERABAD, TELANGANA, INDIA

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Daycare Spine Cinic |Centre for PELD | Back Pain Institute

Full Endoscopic spine surgery or PELD is an advanced, state-of-the-art form of minimally invasive spine surgery designed to provide the patient a quicker recovery time and less recurring pain than traditional spine surgery methods. Endoscopic spine surgery also can help preserve normal range of spine mobility post-operatively. In some cases, the Endoscopic spine procedure can be performed using regional anesthesia instead of general anesthesia, decreasing overall medical risks in patients who are older and/or have co-existing medical disorders that may increase surgical risk.

What is day care spine surgery?

Day care spine surgery refers to a surgical procedure that is performed on an outpatient basis, meaning the patient is able to return home on the same day as the surgery. This is in contrast to traditional spine surgery, which often requires an overnight stay in the hospital.

Day care spine surgery is typically done using a minimally invasive approach, such as endoscopic or percutaneous techniques, which use small incisions, specialized instruments, and imaging guidance to access the spine.

This type of surgery is usually done under general anesthesia and can take anywhere from 1-2 hours, depending on the complexity of the surgery.

What is full endoscopic spine surgery?

Full endoscopic spine surgery is a minimally invasive surgical technique that uses a small camera and specialized instruments to access the spine through small incisions in the skin. This approach allows for visualization of the spine and its surrounding structures, and enables surgeons to perform procedures such as discectomy, laminotomy, and spinal fusion without the need for larger incisions or the disruption of surrounding muscles and tissue.

Advantages of full endoscopic spine surgery include smaller incisions, less postoperative pain and scarring, faster recovery times, and a lower risk of complications compared to traditional open spine surgery.

When to do Endoscopic spine procedure?

• Moderate to severe disc herniation

• Facet arthropathy

• Sciatica

• Spinal canal stenosis

• Degenerative spine disease

• Annular tears or ruptures, anywhere around spine

• Failed back syndrome

• Inflammation between the in-vertebral discs of spine

• Spinal tumour

• Adjacent level disease after spine fixation

What are advantages of Full endoscopic spine surgery?

Day Care Procedure

Least Invasive

Immediate Pain Relief

No muscle damage

Minimal or no scar formation

No blood loss

Maximimum preservation of stabilizing structures

(Ligaments, Muscles and Bones)

Faster Recovery & Quick Return to Active Life

What all things i should take care of after the procedure?

• No heavy weightlifting or bending till full recovery

• Physical therapy and massages are recommended to strengthen the muscles around the treated area

• Regular check-ups and follow-ups should be done with the doctor for a safer and quicker recovery

What are the risk factors?

1. Medical risk to patients (with old age or certain conditions) because of the use of local anaesthesia

2. Irritation in surrounding tissue

3. Excessive or severe blood loss in some cases

4. Post-surgery complications like fever, severe pain, severe headache and trouble inbreathing

5. Injury to the adjacent tissue or nerves that might lead to paralysis in some cases

6. Sometimes, the operated area may develop certain infections. So, careful monitoring of the surgical site should be done.

7. It should not be performed in cases of scoliosis, spinal instability, cancer or tumour.

How is Endoscopic spine surgery executed?

Being a critical and sensitive treatment, ESS is performed with minute care and attention.

Listed below is the step-by-step process of its execution:

a. For ESS, the patient is first prepared for surgery by providing anaesthesia, either locally or regionally.

b. Then, an incision of 1 inch or smaller is made and a tubular trocar is inserted.

c. The spine is approached either intralaminar, from back of the spine between two lamina or transform lamina (from the back / side of the spine into the neuroforamen); depending upon the patient’s diagnosis).

d. After that, a tiny camera is inserted through the trocar to the affected area.

e. This camera projects the inner images for surgeon’s view of the operating site.

f. It assists & guides the surgeon throughout the surgery.

g. On completion of the surgery, the camera & tubular trocar are gently removed & the incision is closed using a small dressing, such as band-aid, etc.

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