{"id":1543,"date":"2022-02-24T16:30:36","date_gmt":"2022-02-24T11:00:36","guid":{"rendered":"https:\/\/www.yashodahealthcare.com\/blogs\/?p=1543"},"modified":"2023-11-21T17:57:37","modified_gmt":"2023-11-21T12:27:37","slug":"endoscopic-spine-surgery","status":"publish","type":"post","link":"https:\/\/www.yashodahealthcare.com\/blogs\/endoscopic-spine-surgery\/","title":{"rendered":"A Complete Guide To Endoscopic Spine Surgery"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p>Endoscopic Spine Surgery or ESS is the most advanced surgical treatment for spinal cord<br \/>\ninjury. It is the most efficient and commonly performed minimally invasive surgical<br \/>\nprocedure done with the smallest tubes, in the range of 3mm-10mm, and incisions,<br \/>\ndepending upon the extent of the affected area.<\/p>\n<p>It has a quicker recovery time and less recurring pain as compared to traditional spine<br \/>\nsurgery methods. However, it is only done in severe or chronic conditions. It is considered<br \/>\nthe last line of treatment for spinal complications because of the high degree of<br \/>\nspecialization required and the sensitivity of the area it is operated on.<\/p>\n<h2>Types<\/h2>\n<p>Depending upon the type of spine complication, different endoscopic techniques are used<br \/>\nto provide desired and effective results. Various endoscopic procedures which are<br \/>\ncommonly performed are:<\/p>\n<ul>\n<li><strong>Endoscopic spine decompression<\/strong> In this procedure, a lump or structure causing pressure on the spine is removed.<\/li>\n<li><strong>Fusion<\/strong> In this procedure, the stability of the spine is restored by fusing two or more<br \/>\nvertebrae into a single entity.<\/li>\n<li><strong>Disc replacement<\/strong> Under such a procedure, a prosthetic disc is implanted in place of the painful or damaged disc, providing relief.<\/li>\n<li><strong>Rhizotomy<\/strong> In this procedure, pain-producing sensory nerves are surgically severed to curb the<br \/>\npain.<\/li>\n<li><strong>Foraminotomy<\/strong> It is a surgical procedure in which the pressure on the compressed nerve is relieved by enlarging the area around one of the vertebrae.<\/li>\n<li><strong>Discectomy<\/strong> Endoscopic discectomy is performed to treat the problems of back and leg pain<br \/>\ncaused by a herniated disc.<\/li>\n<li><strong>Balloon kyphoplasty<\/strong> This kind of surgery is done to treat spinal fractures caused by conditions like osteoporosis.<\/li>\n<\/ul>\n<h2>Signs &amp; conditions which indicate the need for ESS<\/h2>\n<p>ESS is the last step in the treatment of spinal disorders and is usually done after the non-success of physical therapy &amp; medications. Some of the major spine conditions which call for ESS surgery are:<\/p>\n<p>\u25cf Moderate to severe disc herniation<br \/>\n\u25cf Facet arthropathy<br \/>\n\u25cf Sciatica<br \/>\n\u25cf Spinal canal stenosis<br \/>\n\u25cf Degenerative spine disease<br \/>\n\u25cf Annular tears or ruptures, anywhere around the spine<br \/>\n\u25cf Failed back syndrome<br \/>\n\u25cf Inflammation between the in-vertebral discs of the spine<br \/>\n\u25cf Spinal tumour<br \/>\n\u25cf Adjacent level disease after spine fixation<\/p>\n<h2>Risk Factors<\/h2>\n<p>1. Medical risk to patients (with old age or certain conditions) because of the use of local anaesthesia<br \/>\n2. Chances of developing pneumonia, post-surgery<br \/>\n3. Risks of developing pulmonary embolus because of the development of blood clots.<br \/>\n4. Excessive or severe blood loss in some cases<br \/>\n5. Irritation in surrounding tissue<br \/>\n6. Post-surgery complications like fever, severe pain, severe headache, and trouble breathing<br \/>\n7. Injury to the adjacent tissue or nerves that might lead to paralysis in some cases<br \/>\n8. Sometimes, the operated area may develop certain infections. So, careful monitoring of the surgical site should be done.<br \/>\n9. It should not be performed in cases of scoliosis, spinal instability, cancer, or tumour.<\/p>\n<h2>Benefits<\/h2>\n<p>\u25cf Less traumatic as it incorporates smaller incisions, causing less damage to adjacent<br \/>\ntissues.<br \/>\n\u25cf Less painful compared to open surgeries.<br \/>\n\u25cf Time-efficient; surgery gets completed in less than an hour.<br \/>\n\u25cf The risks associated with post-surgical infections are minimal.<br \/>\n\u25cf Faster recovery and reduced blood loss<\/p>\n<h2>How is ESS executed<\/h2>\n<p>ESS is a critical and delicate treatment that must be delivered with utmost precision. Listed<br \/>\nbelow is the step-by-step process of its execution:<\/p>\n<p>1. For ESS, the patient is first prepared for surgery by providing <a href=\"https:\/\/www.yashodahealthcare.com\/anaesthesia-and-pain-control\">anesthesia<\/a>, either locally or regionally.<br \/>\n2. An incision of 1 inch or smaller is made and a tubular trocar is inserted.<br \/>\n3. The spine is approached either intralaminar, from the back of the spine between two laminae, or transform lamina (from the back\/side of the spine into the neuroforamen) depending upon the patient\u2019s diagnosis.<br \/>\n4. After that, a tiny camera is inserted through the trocar into the affected area.<br \/>\n5. This camera projects the inner images for the surgeon\u2019s view of the operating site.<br \/>\n6. It assists &amp; guides the surgeon throughout the surgery.<br \/>\n7. On completion of the surgery, the camera &amp; tubular trocar are gently removed &amp; the incision is closed using a small dressing, such as a band-aid, etc.<\/p>\n<h2>Postoperative care &amp; measures<\/h2>\n<p>Since ESS constitutes a minimal amount of tissue injury and trauma, the patient is allowed to go home the same day.<\/p>\n<p>However, depending on the patient&#8217;s condition, the patient may be required to stay for several hours or even a day or two for observation. Painkillers are prescribed to patients for relieving pain after surgery. The patient can resume a healthy and normal diet as soon as s\/he wishes.<\/p>\n<h2>Some of the things that need to be taken care of are:<\/h2>\n<p>\u25cf No heavy weightlifting or bending till full recovery<br \/>\n\u25cf Wearing a back brace for a prescribed time<br \/>\n\u25cf Physical therapy and massages are recommended to strengthen the muscles around the treated area<br \/>\n\u25cf Regular check-ups and follow-ups should be done with the doctor for a safer and quicker recovery<\/p>\n<h2>Factors affecting the success rate of ESS<\/h2>\n<p>The severity of pain and symptoms Initial stages of injury or newborn pain or symptoms are more likely to be treated successfully when compared to chronic &amp; archaic conditions.<\/p>\n<p>\u25cf <b>Patient&#8217;s lifestyle<\/b><br \/>\nAn active &amp; healthy lifestyle aids the success rate of surgery.<br \/>\n\u25cf <b>Obesity<\/b><br \/>\nSurgery may not prove to be as successful in people with excessive weight. This is because they are more likely to face lower back or leg pain issues due to increased strain on the muscles.<br \/>\n\u25cf <b>Smoking habits<\/b><br \/>\nSmoking habits or excessive tobacco use may interfere with a patient&#8217;s early recovery. This is because they slow down the healing process and therefore indirectly affect surgery recovery.<\/p>\n<p><b>ESS<\/b> is quite a risky procedure as it involves the most sensitive area of our body &amp; any damage to it can lead to drastic and atrocious effects. Therefore, precise diagnosis, sophisticated equipment &amp; spine surgical expertise are required for its success.<\/p>\n<p><a href=\"https:\/\/www.yashodahealthcare.com\/\" target=\"_blank\" rel=\"noopener\">Yashoda Hospital &amp; Research Centre, Nehru Nagar, Ghaziabad<\/a> provides state-of-the-art equipment &amp; technologies. Additionally, a team of professionals with advanced laboratories &amp; pathology services provide patients with a precise analysis of their conditions &amp; treatments. As spinal injury and its treatments carry a lot of potential dangers &amp; risks, an expert opinion or consultation is a must before\u00a0 taking any step at the initial stages.<\/p>\n<p>Dr Puneet Malik is the <a href=\"https:\/\/www.yashodahealthcare.com\/doctor\/puneet-malik\" target=\"_blank\" rel=\"noopener\">best Brain, Spine, and Nerve Expert in Delhi NCR.<\/a> An expert and a neurosurgeon with 10+ years of experience, he has treated a huge number of patients successfully to date.<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>Endoscopic Spine Surgery or ESS is the most advanced surgical treatment for spinal cord injury.<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":1,"featured_media":1545,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[239],"tags":[],"class_list":["post-1543","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-orthopaedics"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.5 (Yoast SEO v21.2) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A Complete Guide To Endoscopic Spine Surgery - Yashoda Hospital<\/title>\n<meta name=\"description\" content=\"Here is an complete guide to understand all the steps, treatment options, benefits, factors. Read more here.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.yashodahealthcare.com\/blogs\/endoscopic-spine-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Complete Guide To Endoscopic Spine Surgery - Yashoda Hospital\" \/>\n<meta property=\"og:description\" content=\"Here is an complete guide to understand all the steps, treatment options, benefits, factors. 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