Endoscopic Lumbar Discectomy is required for disc herniation and disc prolapse situations, where the patient undergoes an alarming level of trauma as there is a direct contact between the lumbar disc and the spinal cord or nerves. This is where good medical practice suggests a conservative treatment course with minimal invasive surgery to take care of the magnitude of pain and distress.
Minimally invasive Lumbar discectomy means gentle and safe
At Navaladi Endoscopic Spine Care the state of the art endoscopic discectomy technique treats a herniated disk more safely and in the most tissue-preserving way possible. The surgeon’s expertise also plays a key role and the decades of experience that the surgeon possesses definitely plays in favour of the patient here. For instance a dorsal entrance point in the case of access to a herniated disc would mean physical movement of nerve endings to access the disc, and would also mean removal of ligamentum flavum. At Navaladi Endo Spine Care, the surgeon’s tremendous experience would suggest consideration of the approach to the same issue whereby the procedure will be conducted with the most direct approach to the disc, with little to no scarring. The most important aspect of the entire procedure is that access is dorsal and therefore there is absolutely no surgical contact made to the nerves that run with the spinal cord inside the vertebral column, and therefore there is direct freeing of the disc that is pinching the nerve.
How is endoscopic lumbar discectomy surgery carried out?
Local anesthesia is administered and an optical endoscope is introduced through a tiny incision which takes with it a camera, a light source and working cannulas. Using external controls the prolapsed disc can be extracted safely out through the tube. Protrusion that remain can safely be disintegrated using a laser nucleolyser that is proprietary to the Clinic.
In some cases where removal is not possible the gel-like nucleus of the intervertebral disk is shrinked with the aid of chymopapain – a special protein-cleaving enzyme. What this does is disencumber the fibrous ring to support the subsequent healing process. But then there is the need to revitalize the spinal disk, and so an abrasion of the calcified vertebral bone by means of minute instruments is done. This leads to a better blood supply in the disk tissue. This ensures that a healthy ring can develop.
The intervention takes 30 to 45 minutes. The procedure is performed as an outpatient and the patient is ready to leave in a few hours. And of course the patient is pain free and scar free.