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Advanced Endoscopic Spine Surgery in Bhubaneswar

Endoscopic spine surgery represents an ultra-minimally invasive surgical approach that uses advanced technology to treat various spinal conditions. This state-of-the-art procedure employs a high-definition camera and a light source attached to an endoscope, which is inserted through a tiny incision measuring only 8-10 millimetres. Compared to traditional spine surgery, it offers faster recovery, minimal scarring, reduced blood loss, and less postoperative pain.

Why is Endoscopic Spine Surgery Needed?

Surgeons choose endoscopic spine surgery for its remarkable advantages over traditional surgical methods. The procedure stands out for its ability to preserve collateral soft tissues while avoiding iatrogenic complications after operations.

The advantages of endoscopic spine surgery include:

  • Reduced soft tissue damage and blood loss
  • Shorter hospital stays with just one night of observation
  • Recovery period of 1-4 weeks compared to traditional surgery's year-long recovery
  • Lower risk of surgical site infections
  • Decreased need for pain medication post-surgery

Best Endoscopic Spine Surgery Doctors in India

Symptoms that Suggest the Need for Spine Surgery

The primary indicators for endoscopic spine surgery include severe or chronic back pain that does not respond to conventional treatments.

Common symptoms that suggest the need for surgical evaluation include:

  • Sharp back pain that radiates to the hips and legs
  • Burning sensations with tingling in extremities
  • Reduced range of motion with difficulty walking
  • Muscle weakness in arms, legs, hands, or feet
  • Problems with bowel control or urination
  • Persistent neck stiffness or tilting

Diagnostic Tests for Endoscopic Spine Surgery

The main diagnostic tests include:

  • Blood analysis to rule out infections or other conditions
  • Specialised X-rays for specific diagnoses
  • Computer tomography (CT) scans for detailed 3D spine images
  • Magnetic resonance imaging for soft tissue examination
  • Electromyogram (EMG) to assess nerve function

Pre-endoscopic Spine Surgery Procedures

Proper preparation plays a vital role in ensuring successful endoscopic spine surgery outcomes. The preparation journey begins with completing a comprehensive medical questionnaire that helps determine necessary pre-operative appointments.

Primarily, patients must undergo several diagnostic evaluations and tests. A physical assessment within 30 days of surgery helps assess overall health status. The surgical team also requires blood work and specific imaging tests to ensure safety during the procedure.

Key preparations include:

  • Maintaining a healthy lifestyle and balanced diet
  • Minimising the use of painkillers
  • Working with doctors on blood pressure medication adjustments
  • Following specific showering instructions with prescribed antiseptic soap
  • Avoiding food and drink after midnight before surgery

Patients should wear loose-fitting, clean clothing on the morning of surgery and avoid applying lotions or cosmetics. Taking approved medications with small sips of water remains permissible. 

During Endoscopic Spine Surgery Procedures

  • Anaesthesia Induction: The surgical team begins the endoscopic spine surgery by administering appropriate anaesthesia. Although local anaesthesia remains the preferred choice, surgeons might opt for general anaesthesia based on the case complexity. Under local anaesthesia, patients stay awake throughout the procedure, enabling immediate feedback about any discomfort.
  • Incision: The surgical process involves precise navigation through Kambin's triangle, a safe corridor composed of four distinct anatomic structures. The surgeon makes an 8-10 millimetre keyhole incision and inserts a 7.9-millimetre endoscope with an HD camera. This sophisticated equipment connects to real-time external HD monitor screens, offering crystal-clear visibility.
  • In-procedure Monitoring: For enhanced precision and safety, the surgical team employs various monitoring techniques:
    • Neuromonitoring Tools: Including electromyography (EMG), somatosensory evoked potentials (SSEPs), and motor evoked potentials (MEPs)
    • 3D CT Navigation: Providing real-time visualisation of spinal anatomy in multiple planes
    • Ultrasound Guidance: Serving as an additional navigation tool
  • Tissue & Bone Removal: The surgeon uses specialised instruments to remove herniated disc fragments, bone spurs, or thickened ligaments compressing spinal nerves
  • Incision Closure: After the procedure is complete, the surgeon closes the incision with adhesive strips or sutures.

Post-endoscopic Spine Surgery Procedures

Endoscopic spine surgery recovery time follows a structured path designed for optimal healing. These include:

  • The medical team monitors vital signs and ensures proper pain management through prescribed medications.
  • Patients can sit, stand, and walk within 1-2 hours after the procedure. 
  • In addition to immediate care, wound management plays a crucial role. Patients receive specific instructions for keeping the surgical site dry and clean. The dressing requires daily changes until the wound dries, typically taking 3-5 days. Naturally, showering becomes possible once the wound dries, though bathing should wait approximately three weeks.
  • Physical therapy stands as a cornerstone of recovery, beginning as early as 1-2 days after surgery. As time progresses, therapists work with patients to restore strength, enhance range of motion, and improve flexibility. Primarily, these sessions focus on exercises that promote blood flow and prevent muscle atrophy.

Why Choose CARE Hospitals for Endoscopic Spine Surgery Procedure?

CARE Hospitals stands as a premier destination for endoscopic spine surgery in Bhubaneswar, boasting one of India's most advanced spine surgery departments. The spine surgery department at CARE Hospitals excels through:

  • State-of-the-art equipment and 3rd generation spinal implants
  • Comprehensive treatment plans tailored to individual needs
  • Multidisciplinary approach involving pain management specialists
  • Advanced minimally invasive surgical techniques
  • Expert teams trained in complex deformity corrections
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Endoscopic Spine Surgery Hospitals in India

Frequently Asked Questions

CARE Hospitals in Bhubaneswar offers world-class treatment with top spine specialists and skilled support personnel. The hospital maintains futuristic equipment and embraces medical advancements for optimal patient care.

Personalised pain mapping stands as the most effective approach. This diagnostic tool helps specialists identify specific pain sources and tailor treatment plans accordingly. The process involves careful evaluation of symptoms and diagnostic injections to pinpoint pain generators.

Primarily, patients show excellent recovery rates. About 99% of cases are performed as outpatient procedures. Naturally, recovery varies based on individual conditions and procedure complexity.

Post-surgery care involves:

  • Regular wound cleaning and dressing changes
  • Gradual return to daily activities
  • Physical therapy sessions starting 1-2 days after surgery
  • Avoiding baths until complete wound healing
  • Regular follow-up visits with spine specialists

Most patients return to normal activities within 1-4 weeks. Recovery periods vary based on individual health conditions and procedure complexity.

The overall complication rate remains below 10%. Common complications include dural tears, postoperative hematoma, and transient dysesthesia. Life-threatening complications occur less frequently compared to open surgery.

The procedure offers faster recovery, minimal tissue damage, and reduced hospital stays. Patients experience less postoperative pain and fewer complications compared to traditional surgery.

This surgery effectively treats herniated discs, spinal stenosis, and degenerative disc disease. Occasionally, it also addresses foraminal stenosis and recurrent disc herniation.

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