Microscopic / Endoscopic Disc Surgeries Unit

The Centre for Microscopic /Endoscopic Disc Surgery at Yashoda Hospital is a dedicated unit known for providing the best spine care. Microscopic /Endoscopic Disc Surgery are performed by high profile medical team with world class surgeons having massive experience.

Our hospital is well-equipped with state-of-the-art facilities with modern equipment for both diagnostic and therapeutic procedures offering a wide range of premium healthcare services. We integrate the latest treatment interventions and medical advancements to deliver advanced patient care.

What Is Endoscopic Disc Surgery?

Discectomy is a common type of spine surgical procedure which is used to extract abnormal disc material that presses on a nerve root or the spinal cord. A damaged portion of a herniated disc material causes pain in the lower back, mid-back (thoracic), legs (lumbar), and neck and arms (cervical).

Two types of minimally invasive Discectomy are present:

• Microscopic Disc Surgery: It is a minimally invasive spine operation done using an external operating device called a microscope. It helps in treating ruptured or herniated discs of the lumbar spine. As compared to open surgery, small incisions are required to prevent post-laminectomy syndrome.
• Endoscopic Disc Surgery: Also known as Nano Endoscopic Discectomy is a minimally invasive spine surgical procedure is done using an external operating device called an endoscope. As compared to open surgery, small incisions are required to prevent post-laminectomy syndrome.

What Are The Indicators For Discectomy?

The primary indicators that reflect the need for Discectomy are

• Pain that occurs in
• Buttocks, legs, and feet — called sciatica
• Near or over the shoulder blade
• Radiates to the shoulder, arm (sometimes to the hand and fingers)
• Persistent neck pain (especially in the back and on the sides of the neck)
• Tingling or numbness in the legs or feet
• Muscle weakness
• Spasm of the neck muscles

What Are The Different Types of Conditions We Treat Under Endoscopic Disc Surgery?

Some of the significant conditions we treat include:

Lumbar Discectomy

• Herniated Disc
• Disc Tear
• Disc Bulge
• Radiculitis
• Radiculopathy

Cervical Discectomy

• Brachial Neuritis
• Cervical Herniated Disc
• Cervical Disc Tear
• Cervical Disc Bulge

Are You A Candidate For Discectomy?

Our doctor evaluates the patient for the current medical condition using diagnostic tests results and designs a customized treatment plan accordingly. The chance of patients going for discectomy increases if:

• Recurring pain, numbness or weakness in
• Buttock
• Groin
• Low back
• Leg
• Numbness in the genital area
• Loss of bladder or bowel control (cauda equina syndrome)
• Symptomatic Bulging Discs which do not respond to conservative treatments such as bed rest
• Pain medication
• Physical therapy
• Muscle relaxants

What Are The Various Types of Diagnostic Procedures Required Before Endoscopic Disc Surgery?

Your doctor might ask you to take the following diagnostic tests:

• Physical examination:
• Reflexes
• Muscle strength
• Range of motion
• Sensitivity to touch
• Walking ability
• Possibility of tender regions in the back
• X-ray
• MRI
• CT
• Electromyelogram (EMG)
• Nerve Conduction Studies (NCS)

What Are The Procedures For Discectomy?

The division of Discectomy a Yashoda Hospital is known to perform two types of Discectomy

• Microscopic Discectomy (with the use of a microscope)
• Endoscopic Discectomy (with the use of an endoscope)

Preoperative Details

Our doctors ensure that you are fit for the procedure by performing a series of tests and screening process. You might be prescribed some medicines for a week or two before the surgery to avoid any infections.

Before the operation, the patient receives general anaesthesia and will sleep through the surgical procedure.

Operative Details

• Step 1: Few small incisions are made by the doctor in the affected area.
• Step 2: Through small incisions in the spine, between the vertebrae, and into the herniated disc space, thin telescope-like instrument (microscope/endoscope) is inserted. The instrument has a tiny video camera – smaller than a dime attached to its top, which projects the patient’s body's inside view on a monitor.
• Step 3: The surgery is performed through surgical instruments or robots assisted arms. Microsurgical tools push the bulging disc back into place and remove the disc fragments and small bony spurs.
• Step 4: After the surgery, sutures are closed with surgical tape.

Postoperative Details

The patient may have to stay in the hospital, depending on the current medical condition and for faster recovery.

What Are The Precautions You Should Take After The Discectomy?

The crucial precautionary measures one must consider after the treatment are:

• Do not lift anything heavy
• No strenuous activity
• Do not indulge in sexual activities
• Do not drink alcohol or smoke
• Eat a healthy diet
• Take all your medicines on time
• Visit your doctor often for check-ups

What Are The Numerous Benefits Of Minimally Invasive Discectomy?

The minimally invasive spine surgery includes the following benefits:

• Small incision
• Minimal scar tissue formation
• Short recovery
• High Success rate
• Minimal blood loss
• Preservation of spinal mobility
• Local Anaesthesia
• Less hospital stay
• Same-day surgery

Are There Any Complications Involved?

Some of the risk factors linked with minimally invasive Discectomy include:

• Bleeding
• Infection
• Blood clots
• Reactions to anaesthesia
• Deep vein thrombosis (DVT)
• Lung problems
• Leaking spinal fluid
• Nerve damage
• Persistent pain

Some of these risk factors are very mild and generally reversible with adjustments in stimulation or with the help of some medication. But see a doctor immediately if the patient experiences these symptoms for a longer duration.