Endoscopic discectomy /foraminotomy is done by making a small incision and using a tiny camera (an endoscope) to remove part of a herniated disc that is pressing on spinal nerves and causing pain. The size of an endoscope is only 0.8 centimeter. Bipolar and radiofrequency can be used to control bleeding. The surgeon can see the real-time image through the monitors. The surgeons have to be trained and must be experts in the field in order to perform endoscopic surgery.
Percutaneous spinal endoscopy is used for the treatment of disorders of the lumbar spine, as it has several advantages over traditional surgical methods.
Advantages of endoscopic discectomy
Excellent magnification and vision in surgical field
Less damage to surrounding tissue/bone/muscle
Smaller surgical wound, less pain, less blood loss, shorter hospital stay
Reduced scar tissue formation, no fibrosis
No fibrosis causing difficulty in second surgery if needed
Post-operative care
1 night hospital stay
You can immediately walk after the surgery
You can go back to work and exercise by the 2nd week after the surgery
How Long Is The Recovery And How Soon Can You Return To Work?
An endoscopic discectomy takes about an hour. You shouldn’t experience a great deal of pain afterward but may feel a little sore. You don’t even have to worry about stitches; your incision will simply be covered with a band-aid. It takes about an hour to recover from the procedure in our outpatient surgical facility and then you can go home. After that, you’ll need to see how your body responds to the surgery. Most patients feel better right away and can return to work in a couple days. It’s important to listen to your body and discuss your symptoms with your doctor to ensure you are ready to resume normal activities. Avoid heavy lifting until your doctor gives you the okay, even if you feel fine.