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11 February, 2019 00:00 00 AM
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Endoscopic discectomy managing chronic back pain by minimally invasive spine surgery

E-Newsletter; Bangkok Hospital
Endoscopic discectomy managing chronic back pain by minimally invasive spine surgery

Chronic back pain is a recurring condition that affects a person’s everyday life. Common conditions are herniated disc and spinal stenosis caused by deterioration due to aging. If the pain does not go away with conservative treatment, endoscopic discectomy, a kind of minimally invasive spine surgery, might be recommended.

 

What is endoscopic discectomy?

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.

 

Reduced rate of complications

Endoscopic discectomy reduces the rate of complications compared to the conventional surgery.

Reduced infection rate (1-2%)

Reduced dural tear (1-2%)

Reduced rate of recurrent disc herniation (5%)

Only small chances that surgeon have to change to conventional procedure

 Candidates for endoscopic discectomy

Patients with herniated disc

Patients with spinal stenosis caused by degenerative changes of spine, joint segment, and spinal disc

 

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

                                                      

Endoscopic discectomy provides equivalent outcomes compared to the conventional surgery for herniated disc and spinal stenosis. The endoscopic surgery results in less pain, less blood loss, and shorter hospital stays. Bangkok Spine Academy provides holistic care with an international standard from JCI (Joint Commission International), aiming to reduce unnecessary surgery in order to achieve maximum benefits for patients. Our goal is to help you get back to doing the things you enjoy by providing you the best treatment available.

 

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Editor : M. Shamsur Rahman

Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

Editor : M. Shamsur Rahman
Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

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