Endoscopic Interlaminer Discectomy

Endoscopic Interlaminer Discectomy is one of the least invasive procedures that relieves low back and leg pain. The procedure is performed as an outpatient surgical procedure to relief herniated, bulging, and extruded disc material.

Endoscopic Interlaminer Discectomy is similar surgical approach to a MIS lumbar microdiscectomy. The main difference between the two is three-fold. First, the endoscopic procedure uses a 8mm or ½ inch surgical operating tube versus a 15-25 mm operating tube with MIS microdiscectomy. As a result of the smaller 8mm tube, the endoscopic procedure is less traumatic on the muscles and surrounding supporting structure of the spine. Secondly, the endoscopic procedure does not require any bone dissection unlike the MIS microdiscectomy and with bone resection there is usually more scar tissue formation. Third, the endoscopic procedure uses a 30-degree HD optical scope which affords the surgeon a superior visualization of the disc and surrounding tissue. The end result is a more thorough discectomy. The risk of complications from scarring, blood loss, infection, and anesthesia that may occur with MIS or conventional surgery are drastically reduced or eliminated with the endoscopic procedure.

Benefits Of Endoscopic Interlaminer Discectomy Versus Traditional or MIS Microdiscectomy

The advantage of the interlaminer endoscopic discectomy procedure is that it only uses a ½ inch incision to access the spinal elements and the large muscles in the middle of your back are spared resulting in less recovery time.

01. High success rates, 90% or above equal to MIS

02. An HD camera & endoscope provides a superior view to that of traditional surgical techniques

03. No laminectomy bone removal is necessary

04. ¼ inch – Incision minimizes potential skin scarring

05. No muscle or tissue tearing thus less scar tissue and preserve spinal mobility

06. No significant blood loss

07. Conscious sedation reduces the risk associated with general anesthesia

08. Less post-operative pain and need for narcotic medicines

09. Less recovery time needed, Return to work sooner

What are the Indications for Endoscopic Interlaminer Discectomy Treat? 

01. Spinal stenosis

02. Bulging, extruded & herniated disc

03. Sciatica pain

04. Radicular pain

How is an Endoscopic Interlaminer Discectomy Performed?

An Endoscopic Interlaminar Discectomy is a ultra-minimally invasive procedure used to treat herniated discs in the lumbar spine by removing the damaged disc material that compresses spinal nerves. The procedure starts with the patient receiving anesthesia and positioning on their stomach. A small incision (1/2 inch) is made near the affected area, and a tube is inserted to access the spine, guided by fluoroscopy. An endoscope is used to visualize the herniated disc on a screen, and specialized instruments remove the disc material. The incision is then closed, and the patient is monitored briefly before being discharged, often the same day. This technique offers several advantages over traditional surgery, including less tissue damage, reduced pain, quicker recovery, and a shorter hospital stay. It's typically recommended for patients with a single-level herniation who have not responded to conservative treatments.

How long is the Recovery and how
soon can you
Return to Work?

The procedure takes about an hour on average. You normally will feel little, if any pain or discomfort. There are no stitches. Upon completion, a small Band-Aid is placed over the incision. Post-operative, patients usually recover for about an hour and then go home.

Recovery depends on how well you and your body responds to the procedure. Typically most patients will feel better immediately after surgery and go back to work within a week or two. Be careful to listen and comply with your physician’s post-operative instructions. Although you may feel better it is best to not do any heavy lifting at all until cleared by your physician.

Ultra-Minimally Invasive

What are the Risks of an Endoscopic Interlaminer Discectomy?

As with any medical procedure, there are potential risks involved with lumbar endoscopic discectomy. 

These can include:

 Infection at the incision site

Nerve damage or temporary numbness

Bleeding or bruising

Temporary increase in pain before improvement begins

However, these risks are relatively rare, and the procedure’s minimally invasive nature helps to minimize potential complications.

Lumbar endoscopic medial branch transection, or Rhizotomy, is an innovative and effective solution for those suffering from chronic lower back pain, especially when conservative treatments have failed. By targeting the specific nerves responsible for transmitting pain from the facet joints, this procedure provides relief with minimal disruption to the spine and a faster recovery time.

If you are experiencing chronic back pain and are interested in exploring whether this procedure could be right for you, it’s essential to consult with a spine surgeon or specialist who can assess your individual condition and recommend the most appropriate treatment options.

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