In the early 1990s, Dr. Jean Destandau changed the course of back surgery with the introduction of endoscopic surgery that has come to be known as the Destandau technique. Conventional back surgery has always been a very major procedure with the success rates not being very acceptable as the levels of complications increase. The vertebral column is an extremely complicated arrangement and though it is designed to take a lot of abuse, there may be accidents or repetitive injuries that may over time, cause wear and tear and as a result of which there may be conditions like disc prolapses. This can lead to severe and sustained pain and debilitating injuries. Conventional surgery solutions for such issues have always been fraught with complications. The path to access would mean physical tearing away of muscles and tissue and regrowth after surgery would always be a huge issue.
With the advent of Destandau technique, the entire procedure has undergone what can only be termed as an evolutionary leap. Using the endoscope to send in mere probes and instruments that are sent in folded, the procedure has now become almost bloodless, while preserving the integrity of the surrounding tissues. The endoscopic instruments designed and perfected by Destandau make the procedure of foraminotomy, for instance, almost like a walk in the park when compared to conventional surgery.
In this blog let us analyse the Destandau method on an anterior foraminotomy surgical procedure. At Navaladi Endospine care, the procedure has been performed on scores of patients to absolute success, and the equipment used are state of the art. With advancements in surgical material technology, the equipments are just getting better.
How does the Destandau method play out?
Anterior cervical foraminotomy is performed with the main aim of easy surgery with very less pain post-surgery and rapid recovery times. Anterior Cervical Foraminotomy (ACF) using the Destandau Method at Navaladi Endospine Care starts off with the patient administered general anesthesia. A 3 cm incision is made just next to the sternocleidomastoid muscle which the entry point for the endoscope. In layman’s terms, the sternocleidomastoid muscle is that thick muscle that you can see on the side of your neck running from the back of the head to the point where your shoulders meet the neck. The endoscope is positioned to make entry beside this muscle and the incision is made through which the endoscope is sent dissecting the superficial cervical fascia. This is essentially the procedure whereupon the surgery will be done exactly as an endoscopic cervical surgery.
Cervical injuries due to a long term abuse of the cervical vertebrae by being stooped over at work for unnatural durations of time, athletic or sport injuries arising as a result of activities such as football and so on, are the main entries for the endoscopic surgery procedure. The Destandau method has paved way for the best way of ingress for the endoscope and the procedure has become a whole lot safer, and recovery times have become absolutely miniscule.
With very few complications and very negligible morbidity, the results are beyond impressive. In essence while we have minimised discal incision, we have been able to maximise discal space. And the results are there for everyone to see. At navaladi Endospine Care, several procedures using the Destandau Method have been carried out and hundreds of people with life hampering conditions have now been made near normal and are carrying on with their lives almost forgetting that they have had a surgical procedure even.