by The Welthi Bureau | 24 JAN 2018
Minimally invasive spine surgery called “Transforaminal Endoscopic Laser Spine Surgery”, which entails a 4-6 mm incision in the flank. The offending disc material is removed through an endoscope, special instruments like LASER (Holmium-YAG) and Drills are used. LASER also helps in increase the foraminal diameter and relieves the nerve compression and avoids spinal fixation. The entire procedure is done under local anaesthesia.
For the first time in South India, Transforaminal Endoscopic Holmium-YAG Laser Spine Surgery program was started by Dr. Sukumar Sura at STAR Hospitals. Recently, Dr. Sukumar Sura and his Team in association with STAR Hospitals have conducted an International Endoscopic Lumbar Spine Surgery conference, which was attended by over 250 delegates from across the world.
The Advantages of the Endoscopic Laser Spine Surgery over conventional spine surgery include:
Stichless Spine Surgery (No sutures)
Performed as an day care procedure done under local anaesthesia
Patient will be completely awake and totally aware during the entire procedure.
Usually provide immediate relief of symptoms
Reduced soft tissue injury
No bone is sacrificed
No epidural fibrosis as a result of the surgical procedure.
Elderly people, high risk surgery patients can also undergo this procedure
Reduced risk of complications
To the common man, it can be called Key Hole Surgery
Transforaminal Endoscopic Laser Spine Surgery is a novel technique to address the ubiquitous lumbar disc disease. This advanced procedure was started first time in both states, Telangana and Andhra Pradesh by Dr. Sukumar Sura at STAR Hospitals, Hyderabad in year 2012. Since then, Dr. Sukumar Sura has performed more than 150 procedures with very good clinical results.
Percutaneous Transforaminal Endoscopic Laser Spine Surgery (Discectomy and Foraminoplasty)
There are two surgical options in treating a disc prolapse and foramen stenosis. One is a traditional open microsurgery. Here a large incision is made in the patient’s back. The muscles of the back are retracted and some bone is also removed. This will expose the nerves and once they are retracted the disc prolapse is exposed. Then the prolapsed disc material is removed and the neural tissue is adequately decompressed.
This will result in a large scar, significant muscle damage and sometimes instability due to excess bone removal. Since the neural tissue is retracted some amount of damage to the nerve is a distinct possibility.
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