What Is Endoscopic (Minimally Invasive) Spine Surgery?
Unlike traditional open surgery, this technique uses only small skin incisions, and the access route is planned to cause the least possible harm to the body. A thin tube is placed through the incision; through this tube, a thin camera (endoscope) and surgical instruments are used to carry out the procedure. The camera projects the surgical area onto a screen in a magnified, sharp view, giving the surgeon a detailed picture — allowing focused, tissue-sparing work. The small incision and short hospital stay are factors that can shorten the stay of patients who travel a long way.
Monoportal and Biportal Techniques
Endoscopic spine surgery can be performed in two ways. In the monoportal (single-channel) technique, a single incision is made in the skin; this is called full-endoscopic disc surgery. In the biportal (two-channel) technique, two small incisions are made; this is called endoscopy-assisted spinal disc surgery. Which technique is right for you is determined by a remote review of the imaging you share and a detailed pre-operative assessment — explained in your own language if needed.
When Is It Used?
Almost all procedures performed by open surgery — such as lumbar disc herniation, cervical disc herniation, lumbar spinal stenosis and cervical spinal stenosis — can also be carried out with the endoscopic (minimally invasive) method. Whether it is appropriate for you is determined by the MRI you share before travelling and a detailed evaluation of your condition.
Alternatives — Not Every Patient Needs Surgery
Surgery is not the only option, and it is important to know this before making a long journey. Alternatives that may be considered depending on the situation include medication, exercises that strengthen the lower-back and core muscles, physiotherapy, interventional pain methods (injections, etc.) and open surgical techniques. The aim of the online pre-assessment is to clarify remotely whether surgery is truly needed; the right treatment is determined individually.
Recovery and the Treatment Journey
In suitable cases, thanks to the small incision and tissue-sparing approach, many patients can stand up within a short time; the return to daily life is gradual. For patients who travel, a check before a long flight and a few days of close follow-up are recommended, and the timing of the return is planned individually. Rarely, an unexpected situation during surgery may require conversion to open surgery; in such a case your surgeon will provide the necessary information. After you return home, your operative report and images are provided for follow-up.