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A Micro Endoscopic Discectomy is a minimally invasive proceduredesigned to relieve pain caused by a herniated disc pressing on a nerve root.See the top-left illustration. You can have this procedure done at theSoutheastern Spine Institute (SSI) as a same day surgery.For this operation, your back surgeon uses a tubular retractor system anda microendoscope to guide his movements and perform the operation. AMicro Endoscopic Discectomy is effective in relieving radiculopathy that

usually compromises a root nerve.OverviewYour back doctor performs this minimally invasive surgical procedure with atubular device, through which he inserts the instruments and tools he needs.Because the incision required for this procedure is small, the surgery can bedone on an outpatient basis, so you can return home the same day to

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recuperate. The procedure is detailed below. Talk to your surgeon about therisks, as well as what you can expect from the recovery.

1. Inserting the Guide WireYour doctor inserts a guide wire through a small incision to locate theaffected disc in your spine. He uses a fluoroscope, which displays live X-rayimages, to ensure that he lines up the route to the correct herniated disc.See illustration 1.

2. Inserting the Dilating TubesAs shown in illustration 2, the surgeon passes a series of dilating tubes overthe guide wire, pushing apart the tissue to get to your vertebrae. Once hehas access to the herniated disc, he removes the guide wire.

3. Inserting the Retractor

The tubular retractor, through which your doctor will perform the surgery,slides over the dilating tubes. Refer to illustration 3. The physician positionsit on the bone surface. Then he removes all the dilating tubes.

4. Inserting the InstrumentsA surgical light and small camera allow your doctor to see through the tube.He uses special surgical instruments, passed through the tube, to clear awaybone and soft tissue to gain access to your spinal canal, as shown inillustration 4.

5. Moving the Spinal NerveThe surgeon uses a nerve retractor to gently move the nerve away from theherniated disc. Again, see illustration 4.

6. Clearing the Herniated Portion of the DiscUsing small surgical instruments passed through the tubular retractor, yourdoctor removes the herniated portion of the disc, as shown in illustration 5.He then clears the area enough to allow the nerve to move back into itsnormal position.

7. Recovering from the ProcedureThe surgeon withdraws the tubular retractor, which allows your body tissueto close around the surgery site. Because the incision is small for a MicroEndoscopic Discectomy, you need only a small bandage to close the surfacewound.

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While you can return home after an observation period, you still must restand heal. As your surgery wound heals, you can return to normal dailyactivities around the house. Depending on your occupation, you may beallowed to return to work within one or two weeks.

- See more at: http://www.southeasternspine.com/procedures-treatments/micro-endoscopic-discectomy/#sthash.hfnOD7c1.dpuf