What is a Selective Endoscopic Discectomy?




When a cervical (neck) or lumbar (lower back) spinal disc becomes damaged for any number of reasons, the disc can quickly herniate. When that happens, portions of the disc press on sensitive nerve roots and cause immense pain, discomfort and even limited mobility. A Selective Endoscopic Discectomy is performed using a keyhole incision and utilizes a special camera no larger than a dime. This allows our surgeons direct access to the affected area of the spine to easily select the portion of the disc to be removed, all without additional cutting through tissue and muscle.

Some of the benefits associated with a Selective Endoscopic Discectomy include:

  • Tiny incision, known as a keyhole, generally means less blood loss and faster healing.
  • This minimally invasive surgery is performed under local or epidural anesthesia in an outpatient center, usually allowing the patient to go home the very same day.
  • A Selective Endoscopic Discectomy removes only the herniated portion of the disc that is irritating the nerve root, while keeping the spine stable. Many patients report rapid pain relief immediately after surgery.
  • Due to the small size of the incision, scarring is minimal and typically only a BAND-AID® is required post-surgery.

Our Treatment Approach

Minimally Invasive SpineCARE is pleased to offer the most cutting-edge treatments available today and the latest in minimally invasive technology. Our skilled surgeons are Board-certified physicians and experts when it comes to performing effective minimally invasive procedures. Here are some of the steps of a Selective Endoscopic Discectomy:

  • Once the location of the disc protrusion is confirmed, an obturator tube is inserted through the keyhole incision. This tube helps to gently push aside tissue and create a clear pathway to the affected disc.
  • A working sleeve is put in place of the obturator, which allows insertion of the tiny camera and specially designed surgical tools. The endoscope carefully guides the surgical tools to effectively remove the protruding portions of the damaged disc.
  • The defect in the disc wall is then treated with a laser to avoid further leakage and pressure onto nearby nerve roots.
  • The desired end result is significantly reduced pressure on the nerve roots and successfully treating the wall of the damaged disc, while keeping the spine stable.

This is typically performed as an outpatient procedure, with patients able to go home on the same day. With our focus on minimally invasive surgical techniques, recovery times are usually quicker and patients often experience pain relief immediately after the procedure.

Advantages of Minimally Invasive Surgery

  • 45,000 satisfied patients
  • 98% satisfaction rate
  • 3mm incision
  • Less scarring
  • Less blood loss
  • Faster recovery time
  • Shorter hospital stay
  • Increased safety for patient
  • Board-certified surgeons

Should you need more information, please fill out the Contact Us form or give us a call at 972-255-5588.

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