Ambulatory Spine Surgery for Disc prolapse (Sciatica)

Ambulatory Spine Surgery

Service Centers

Visakhapatnam - Chalam Orthopaedic spine Center.

Hyderabad, Bangalore, Chennai, Jaipur, Kanpur, Mumbai, Delhi – Nova Medical Center.

Dubai – NMC Specialty Hospital

Ambulatory Spine Surgery

Include those surgical procedures more complex than office-based procedures but less complex than major procedures requiring less than 24 hours admission for post anesthetic and patient monitoring.

Ambulatory Spine Surgery

progress in diagnosis with MRI

more people requirement against pain

Ambulatory Spine Surgery• progress with anaesthesiology

Ambulatory Spine Surgery

progress with surgical tools: Endoscopic tools

Ambulatory Spine Surgery

progress with surgical tools: • flow integrated fluid pump system

Ambulatory Spine Surgery

progress with surgical tools: • Radiofrequency Cautery

Ambulatory Spine Surgery

progress with surgical tools: • Holmium-Yag Laser

Ambulatory Spine Surgery procedures

Ambulatory Spine Surgery

Slipped disc

Various types of lumbar disc herniation

Far lateral type

Para central type

Inferior Migration

Central type Foraminal type

Superior Migration

Different Surgical Options For Treatment of Slipped Disc

• Laminectomy : A traditional treatment procedure

• Microdisectomy: This is referred to as Gold standard

• PELD: Latest advancement

Laminectomy

• Large Incision• Muscle Stripping• Blood Loss• Bone Removal

Microdisectomy

• Incision 20 to 30mm• Muscle Stripping• Blood loss 20-40ml• Bone Removal-

Laminotomy

PELD(Percutaneous Endoscopic Lumbar Disectomy)

• Incision 6mm• No Muscle stripping• Blood Loss 2 to 5ml • No Bone Removal

PELD-anatomical consideration

Under Local Anesthesia

Incision Under Local Anesthesia

Viewing Under Local Anesthesia

Endoscopic view blue-stained herniated disk

blue-stained herniated disk with grasping forceps

Immediately after Surgery

Extended use of PELD

PELD is also suitable for

• elderly patients,

• patients with cardiovascular problems,

• patients who are afraid of surgery and general anesthesia.

Advantages of PELD

• Immediate pain-relieve in 95 % of the cases • Eliminating the possibility of resection of bone and

ligament • Performing selective Disectomy• No need for general anesthesia • Outpatient treatment • Faster rehabilitation• Earlier return to work or sports• Higher patient satisfaction

MOVE A HEAD WITH TECHNOLOGY

Avicenna’s (980–1037 AD)

principal method of treating spinal disorders

Modern Operative Room

Thank You

Ambulatory Spine Surgery24 hours Stay

No more. Maybe less.