An endoscopic discectomy is a minimally invasive spine procedure used to remove a herniated disc in the spine. This procedure is performed using an endoscope, which is a small, tube-like instrument with a camera attached to it. The endoscope allows the surgeon to see inside the patient’s body and perform the surgery without making the large incisions associated with traditional spine surgery.
During an endoscopic discectomy, you will be placed under general anesthesia. The surgeon then makes a small incision in the back and inserts the endoscope into the area of the spine where the herniated disc is located. The endoscope provides a clear view of the herniated disc, and the surgeon uses small instruments to remove the disc material that is pressing on the spinal nerves.
Once the disc material has been removed, the surgeon may also use a laser to remove any remaining tissue or to cauterize any bleeding. Finally, the endoscope is removed and the incision is closed with a few stitches.
Recovery time for endoscopic discectomy varies depending on the patient and the extent of the surgery. However, in general, most patients can expect to return to light activity within a few days of the surgery.
Patients are typically able to return to work and resume normal activities within 2-4 weeks after the procedure. Patients are advised to avoid heavy lifting and strenuous activities for several weeks after the surgery.
Endoscopic discectomy may be a good option for patients who have a herniated disc in the lower back or neck that is causing pain or other symptoms. Also it may be an option for patients who have tried unsuccessfully conservative treatment methods such as physiotherapy and medications
During the procedure you will be under general anesthesia so will not feel any pain. After the surgery partients will experience some discomfort, but it is typically less severe compared to traditional open surgery. You will however be given pain medication to manage any discomfort during the recovery period.
The cost will depend on the complexity of the case as if additional levels of decompression are needed, additional surgery time is required etc. On average the price would start from AED 40,000 minimum for an experienced endoscopic discectomy spine surgeon with a strong Board or subspecialty fellowship trainng.
The risk of complications with endoscopic discectomy is generally lower than with traditional open surgery, but as with any surgical procedure, there are risks associated and these can include bleeding, infection, nerve damage, or spinal fluid leakage.
The length of the procedure varies case by case based on the complexity, but it typically takes between 30 minutes to 2 hours.
Yes, most patients will require physical therapy after the procedure to help improve their range of motion and build strength.