Treatment
Endoscopic Spine Surgery
Full-endoscopic spine surgery operates through a 7 mm working channel — the smallest footprint in spinal surgery — guided by a high-definition camera with direct visualisation of the surgical field.
About This Treatment
Endoscopic spine surgery is the most advanced form of minimally invasive spinal decompression. Using a single 7 mm tube housing both the working channel and the HD endoscope, Dr. Sparsh Jaiswal can perform discectomy, foraminotomy, and decompression under continuous saline irrigation with direct visualisation — eliminating the need for general anaesthesia in many cases. The procedure can be performed under epidural anaesthesia, with patients conscious and able to provide immediate neurological feedback. Post-operative pain is minimal, and patients can walk within hours. Dr. Jaiswal trained in endoscopic spine surgery at IBS Hospitals, New Delhi.
Key Benefits
- check_circleSub-centimetre incision — the smallest in spinal surgery
- check_circleOften performed under epidural anaesthesia — no general anaesthesia risk
- check_circleDirect HD visualisation ensures complete nerve decompression
- check_circleContinuous saline irrigation maintains a bloodless operative field
- check_circleDay surgery or 23-hour admission in most cases
- check_circleReturn to walking within hours; return to work in days
Who Is a Candidate?
Optimal for single-level lumbar disc herniation (including far-lateral herniations), lumbar foraminal stenosis, cervical disc herniation, and selected cases of lumbar central stenosis. Not suitable for severe instability requiring fusion or complex multi-level deformity.
The Procedure
Positioning & Anaesthesia
Prone or lateral positioning. Epidural or general anaesthesia. Fluoroscopic localisation of the target level.
7 mm Portal Creation
Sequential dilators expand a 7 mm working channel through the paravertebral muscle to the target foramen or interlaminar window.
Endoscopic Decompression
Under HD camera guidance with saline irrigation, the herniated disc or compressive bone is precisely removed using endoscopic rongeurs, drills, and laser.
Nerve Root Inspection & Closure
Free, pulsating nerve root confirms complete decompression. Single absorbable suture closes the skin. Waterproof dressing applied.
Recovery & Outcomes
Patients walk within 2–4 hours. Discharge same day or next morning. Return to desk work in 3–5 days; physical work in 2–3 weeks. No spinal brace required in most cases.
Other Treatments
Ready to begin your recovery?
Dr. Sparsh Jaiswal will personally evaluate your case and recommend the most appropriate treatment pathway.