Lower back pain is widespread nowadays. According to the research Global Burdern of Disease Study, lower back pain is the world’s most common cause of disability and absence of work. Lower back pain can disrupt a perosn’s daily life routine.
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What Is Endoscopic Lumbar Discectomy?
Endoscopic lumbar discectomy is a fast-forward surgical procedure to remove herniated disc. Herniated discs might cause pain in your lower back, cervical (neck and arms), and thoracic (mid-back) spine. Moreover, in endoscopic lumbar discectomy, surgeons make minor incisive cuts in the lower back region compared to open lumbar discectomy. Because of that, it is more cost-efficient, has quick recovery, and has less tissue trauma.
Types Of Endoscopic Lumbar Discectomy
1. Endoscopic Facet Rhizotomy
Endoscopic Facet Rhizotomy operation involves minimally invasive spine surgery with the guidance of X-ray to deaden affected nerves, causing neck and chronic back pain.
2. Endoscopic Foraminotomy Of Lumbar And Cervical Spine
Endoscopic Foraminotomy is a minimally invasive spine surgery to relieve pressure from spinal nerve roots caused by compression from bone spurs, disc herniation, scar tissue, or excessive ligaments.
3. Endoscopic Lumbar Laminotomy
Endoscopic Lumbar Laminotomy is a minimally invasive spine surgery and an alternate option for traditional or open laminotomy. It is considered the least invasive surgery for effective treatment for spinal stenosis.
4. Lumbar Endoscopic Discectomy Surgery And Cervical Spine
Endoscopic discectomy is a minimally invasive, common type of endoscopic spinal surgery to remove herniated disc material to lessen pain in the lower back, lumbar (leg), thoracic (mid-back), or cervical (neck and arms).
5. RELIEF Surgery
RELIEF Surgery is a short form of Robotic And Endoscopic Lumbar Interbody Expanded Fusion Surgery. It combines robotic and endoscopic techniques to minimize surgical wounds and maximize surgery accuracy for the best outcome.
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Why To Undergo Endoscopic Lumbar Discectomy?
There are multiple reasons behind a person opting for endoscopic lumbar discectomy, such as:
- Severe pain, weakness, or numbness in your leg.
- Leg pain, also known as sciatica, is worse than back pain.
- Symptoms that are unable to improve with physical therapy or medication
- Weakness in the legs, genital numbness, and lack of bladder or bowel control (Cauda Equina Syndrome)
Benefits Of Endoscopic Lumbar Discectomy
There are numerous benefits of endoscopic lumbar discectomy, such as:
1. Local Anesthesia
Endoscopic lumbar discectomy procedures require local anaesthesia, unlike traditional spine surgery, requiring general anesthesia. It numbs the portion to ensure you remain comfortable and eliminates possible complications during the surgical procedure.
2. Small Incision
This procedure uses small incisions to remove the damaged portion of your lower back. Such small incisions reduce the risk of bleeding and developing an infection.
3. Minimally Invasive Procedure
The surgical procedure involves small tools and a camera. Surgeons use small cameras and tools to identify the damaged part of the lower back. In this process, surgeons don’t use small devices to cut your muscles or surrounding bones to access the herniated disc.
4. Fast Recovery
The surgical procedure takes approximately 1 hour to complete. In this procedure, you experience less pain, less bleeding, less scar, and a short stay in the hospital.
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Tests Done Before Endoscopic Lumbar Discectomy
Before proceeding with the surgery, your doctor will suggest you to undergo certain tests to examine your health, such as:
- Physical examination
- Imaging tests like MRI, CT Scan and X-ray
- Electromyography (EMG) and Nerve Conduction Studies
- Discography
- Complete blood tests
- Psychological evaluation
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Surgery Procedure For Endoscopy Lumbar Discectomy
- Surgeon sedates the patient with local anaesthesia before starting the procedure.
- A small incision is made on the side of the back to allow the endoscope and other gadgets to go through the disc space.
- Surgeon observes live, large images of defective portions on the monitor.
- After identifying the position, the surgeon removes the damaged portion and any disc material that is causing nerve pain and symptoms.
- Once this is completed, the endoscope is removed, and the incision sewn closed.
- Endoscopy lumbar discectomy takes approximately 1 hour to perform.
What Happens After Endoscopic Lumbar Discectomy?
In the post operative recovery, the hospital will monitor your blood pressure, heart rate, and respiration. After discharge from the hospital within a day or two, you might have to rest for at least two weeks to return to your everyday life.
1. Restrictions
- Avoid bending or twisting your back.
- Don’t lift heavy stuff.
- Avoid laborious tasks like housework or yard work.
- Don’t consider driving while taking pain medicines.
- Avoid tobacco and alcohol.
2. Incision Care
- If your skin glue covers your cut, you may showera few days after, carefully.
- If you have staples or stitches, you may prefer a gentle wash rather than a shower.
- If there is drainage, cover it with a dry gauge from a splash of water.
- Don’t use lotion or oil on the incision.
- The surgeon will remove staples or stitches afer a few days of proper care.
3. Medications
- Take painkillers, according to your doctors.
- Drink lots of water and eat high-fiber foods like nuts, leafy green veggies, and whole grains.
4. Activity
- Apply ice to reduce pain and swelling to your incision 3–4 daily for 15–20 minutes.
- Do not Sit or lie in one position for a longer time to avoid pain.
- Try to walk at least 5–10 minutes every 3–4 hours to increase your walking.
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Risk Factors Of Endoscopic Lumbar Discectomy
Endoscopic lumbar discectomy is considered very safe with minimal risks and complications. However, like any other procedure, the risks are not zero.
Some risks are:
- Extreme bleeding
- Side effects of anaesthesia
- Infections
- Nerve damage
- Leaking spinal fluid
Endoscopic Lumbar Discectomy Cost In India
The endoscopic lumbar discectomy cost in India ranges from USD 4000 to USD 7000, depending on the extent of damage to the spine and facility chosen for the operation.
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Endoscopic Lumbar Discectomy Hospitals In India
There are several hospitals for endoscopic lumbar discectomy in India where you can find excellent treatments with the help of modern hospital instruments and expert doctors.
The hospitals are:
- Jaslok Hospital & Research Centre, Mumbai
- Amri Hospital Salt Lake, Salt Lake, Kolkata
- Sharda Hospital Greater Noida, Delhi NCR
- Fortis Escorts Heart Institute, New Delhi, Delhi NCR
- Max Multi Speciality Center, Noida, Delhi NCR
- Paras Hospitals Panchkula
- Medanta The Medicity, Gurugram, Delhi NCR
- Gleneagles Global Hospitals, Hyderabad
- Nanavati Super Speciality Hospital, Mumbai
- Fortis Hospital, Bannerghatta Road, Bangalore
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FAQs About Endoscopic Lumbar Discectomy
1. Is Endoscopic Lumbar Discectomy painful?
Endoscopic lumbar discectomy is a minimally invasive surgery where you won’t feel that much pain during or after the procedure. However, you can feel mild pain after the surgery while walking, standing, or getting up.
2. How long is recovery from endoscopic lumbar discectomy?
You can return to your daily life within no time if you take your medications according to your prescriptions. But you should avoid high-impact activities like bungee jumping, heavy weight lifting, etc.
3. Who is not a candidate for endoscopic lumbar discectomy?
If you have leg pain as your primary symptom, an endoscopic lumbar discectomy can help relieve your pain. If you have back pain as your main symptom, you might not be able to find that much relief from this surgery.
4. What is the endoscopic lumbar discectomy cost in India?
The endoscopic lumbar discectomy cost in India ranges from USD 4000 to USD 7000, depending on the extent of damage to the spine and facility chosen for the operation.
Choose GoMedii For The Best And Affordable Endoscopic Lumbar Discectomy Cost In India
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