A Brief Overview Of The Endoscopic Spine Surgery (ESS)
- November 25, 2020
- Posted by: Dr. Sumeet Pawar
- Category: Neurosurgery
In medical terms, Endoscopic spine surgery (ESS) is a minimally invasive procedure which uses a unique digital visualisation tool called the endoscope. It involves tiny incision that are less than a cm long and use tubular instruments that avoid adjacent tissue damage. In general terms, ESS is an advanced surgery that helps the patient recover much quicker than traditional surgery. It preserves most of the spine’s mobility and soft tissue structures post-surgery, allowing good back stability. Also, since it can be performed under local or regional anaesthesia, it reduces the bed rest and medications required during the recovery. Minimally invasive endoscopes are used to treat other body parts as well, but with its advancements in treating various spinal disorders, it has famously become a modern spine surgery technique.
How is ESS different From Other Spine Surgeries? ESS is obviously different from traditional surgeries which are performed through single long incisions and cutting through the internal soft tissues. But ESS is also different from other minimally invasive surgeries, such as the micro-invasive and laser spine surgeries which do not involve an endoscope. For ESS, the spine surgeon will perform the surgery by looking at a monitor screen with the live video feed of the internal body established by the endoscope camera. Almost all surgeries done by open techniques can be done endoscopically.
What are the advantages of having an Endoscopic Spine Surgery? The minimal incisions and precise targeting of the surgical site achieved by ESS reduce blood loss and recovery period significantly. Moreover, ESS is almost always performed as an outpatient procedure, meaning the patient can leave the same day without any extended hospitalisation. In most cases, patients are allowed to walk out of the premises with minimal restrictions. There is no suture so no need to come for suture removal either.
Who is Considered A Good Candidate For ESS?Any patient with spinal disorders is first treated with non-surgical treatments which may include pain management medicines, spinal injections, and physical therapy. If these treatments fail to improve the condition and surgery become a necessity, then ESS is more often recommended to patients who have moderate to severe disc herniation, facet arthropathy, sciatica, or spinal stenosis. Certain spinal issues, such as scoliosis, infection, cancer, and trauma may still be treated via the traditional open approach by our spine surgeon in Mumbai. Otherwise most surgeries can be done endoscopically.
How To Choose The Right Endoscopic Spine Surgeon in Mumbai?As mentioned before, ESS is a new technique that not all spine surgeon in Mumbai may be familiar with. And the results of this surgery majorly depend on the experience and adeptness in performing such endoscopic surgeries. Dr Sumeet Pawar of the Power Spine clinic is one of the few highly experienced endoscopic spine surgeons in Mumbai who can accurately diagnose and decide your candidacy for this surgery. With a modern approach towards spine surgeries and vast knowledge of using digital tools and technology, Power Spine clinic might be the best option if you want to have your ESS from the best endoscopic spine surgeon in Mumbai. We are currently operating endoscopically at Lilavati Hospital and Research Centre, Bandra; Bhatia Hospital, Tardeo; and SRCC Children’s Hospital, Haji Ali (Pediatric cases).