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Percutaneous Endoscopic Discectomy

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When Herniated disc or bulging disc material presses on a nerve root or directly on the spinal cord, laser spine surgery can be performed to remove the portion on the disc that is causing pain.

If a patient’s history, physical examination, and imaging indicate that a herniated or bulging is still contained, meaning the material has not broken free, laser spine surgery using a percutaneous endoscopic discectomy procedure may be performed. Imaging can be done using a ct scan (computed tomography) or an MRI (magnetic resonance Imaging).

Patients may also experience severe weakness, loss of coordination and or feeling. These are all signs of serious nerve damage.

A percutaneous endoscopic discectomy uses laser spine surgery techniques that can treat the following conditions:

• Sciatica
• Bulging Disc
• Herniated disc
• Degenerative Disc Disease
• Pinched nerve caused by nerve root compression

If a patient has developed significant bony anomalies or foraminal stenosis, they will not be a good candidate for a percutaneous endoscopic discectomy. This patient would benefit more from laser spine surgery using a foraminotomy procedure instead.

The surgeon performing the percutaneous endoscopic discectomy uses a combination of X-ray monitoring and fiber optics which results in pictures being displayed on a monitor that is similar to a TV screen. Through this the surgeon can see what is actually compressing the nerve during the laser spine surgery and be able to remove it. This ensures a much higher success rate.

Laser spine surgery through the use of a percutaneous endoscopic discectomy procedure requires no general anesthesia and thus can be performed in an outpatient surgical setting.

The patient receives a small incision after a local anesthetic is administered and through this incision a round Depuy tube is inserted. The tube allows for the laser spine surgery to be performed with minimal damage to the surrounding muscles. Instead of cutting or tearing the muscles, they are pushed out of the way.

The laser, camera, suction, irrigation and other surgical instruments are inserted through this working tube. The laser is used by the surgeon to vaporize the disc material that is causing the nerve impingement, alleviating the patient’s pain. During the laser spine surgery patients will often feel immediate pain relief as the nerve(s) are freed or pressure is taken off the spinal cord. The muscles will move back into their natural position as the tube is slowly removed after the laser spine surgery is completed.

Being a relatively short procedure, a percutaneous endoscopic discectomy takes only 30 - 45 minutes to complete. The recovery for this laser spine surgery is quick and the patient is only required 1 or 2 hours of monitoring and after this period they are free to go as long as they are accompanied by a companion.

The following afternoon or evening of the procedure the patient is encouraged to take a nice long walk. The following day the patient will return for a post-op examination where the doctor will give the patient clearance to return home.
Advantages of laser spine surgery, specifically percutaneous endoscopic discectomy:

• No need to general anesthesia
• With no need of disc removal, there is no need for spine fusion
• Because this is an outpatient procedure there is no need for long hospital stays
• Minimally invasive laser spine surgery
• Very short recuperation, patients quickly return to a normal lifestyle
• Minimal scar tissue formation
• High rate of success