Duration of Treatment
usually takes 30 to 60 minutes.
Days of Stay
Usually 2 to 3 days in the hospital and 5 days outside the hospital.
Anesthesia
Local anaesthesia or sedation.
Cost
3800 to 6000 USD
How much does Endoscopic Spine Surgery Cost in India?
"Looking for Endoscopic Spine Surgery Cost India or Best Endoscopic Spine Surgeon at an affordable cost in different cities like Delhi, Mumbai, Chennai, Kolkata, and Bangalore? Here, we answer the question and explain how to choose the best neuro hospital list for better results.
We have also shortlisted the list of best top Hospitals and Surgeons on the basis of Hospital accreditations, experience & qualification of surgeons, success rates of procedures, and patient testimonials.
- Endoscopic Spine Surgery Cost in India: Starting from 3800 to 6000 USD
- Endoscopic lumbar discectomy cost: Starting from 3800 to 6000 USD
- Hotel Cost Near Hospital - starting from 18 to 50 USD ( as per hotel services)
- Food Cost - starting from 20 to 30 USD (per day )
- Miscellaneous cost - 20 USD (per day)
- It's an only rough estimate, final treatment will plan after the fresh evaluation reports.
- In India, Endoscopic Spine Surgery Cost can vary as per the diagnosis, patient conditions, surgeon experience, Implant quality, hospital facilities, and city.
- To make an appointment, learn more about Spine, read below information, or call / WhatsApp/ Viber - our experts to answer at +91 9582708782." Still, have questions? SUBMIT ENQUIRY
Who is the Top Best Spine Surgeon in India?
- Dr. Bipin Walia
- Dr. Rana Patir
- Dr. Anil Kumar Kansa
- Dr. Vikas Gupta
- Dr. Puneet Girdhar
- Dr. Saurabh Verma
- Dr. Aditya Gupta
- Dr. Sunit Mediratta
- Dr. Rahul Gupta
- Dr. Arun Saroha
- Dr. Anandh Balasubramaniam
- Dr. Shibu Vasudevan Pillai
Which is the best Spine surgery hospital in India?
- ARTEMIS HOSPITAL
- MANIPAL HOSPITAL
- BLK HOSPITAL
- APOLLO HOSPITAL
- FORTIS HOSPITAL
- MAX HOSPITAL
- MEDANTA HOSPITAL
- YASHODHA HOSPITAL
- GLOBAL HOSPITAL
- NARAYANA HOSPITAL
Why did you choose Peace Medical Tourism?
We are one of the best healthcare services providers for more than 10 years of experience to provide the best treatment at an affordable cost and guide our international patients to choose the top destination as per patient's budget and treatment.
- Comprehensive and 100% transparency.
- Help to Choose the Best Option for weight loss Treatment.
- Very highly skilled Spine surgeon in India team.
- World-class technology for surgery.
- The high success rate of procedures with international standards.
- Affordable Cost of Minimally Invasive Endoscopic Spine Surgery.
What is Endoscopic Spine Surgery?
Endoscopic Spine Surgery is an advanced surgical procedure that uses a small tubular system or micro-incisions, assisted with an endoscope or microscope to get quick recovery, less pain, minimal soft tissue damage, and small incisions.
What are the types of Endoscopic Surgery?
- Endoscopic Discectomy- By this procedure, the surgeon used to treat back pain of lumbar disc tear, bulging disc, herniated disc, radiculitis or radiculopathy.
- Endoscopic Foraminotomy- By this procedure, the surgeon is used to treat bone spurs, protruded discs, scars, ligament overgrowth, and lumbar facet joint disease.
- Endoscopic Cervical Discectomy- By this procedure, the surgeon used to treat for the neck pain treatment of cervical disc tear, herniated disc, bulging disc or brachial neuritis.
- Extreme Lateral Interbody Fusion- By this procedure, the surgeon is used to treat degenerative disc disease.
- Laser Facet Rhizotomy- By this procedure the surgeon used to treat chronic back pain from bone spurs, neck syndrome, facet joint disease, and failed back.
Still, have questions? SUBMIT ENQUIRY
What are the Signs and Symptoms of Endoscopic Spine Surgery?
- Sudden & severe back pain
- Numbness or tingling in a hand, arm, foot or leg
- Problems with walking and balance
- Some pain relief when lying down
- Difficulty and pain when bending or twisting
- Deformity of the spine
- Patients with lumbar spinal disc herniations
- Slip disc (Lumbar & Cervical Disc Herniation)
- cervical spine (neck) or lumbar spine (Lower Back)
- Bending to the floor to pick something up
- Slipping on a rug or making a misstep
What are the risk factors of Endoscopic Spine Surgery?
- Risks of anesthesia
- Numbness
- Leaking spinal fluid
- Damage to nerves or muscles
- Bleeding
- Infection
- Temporary dizziness
- Nerve paralysis
How to Prepare for Endoscopic Spine Surgery?
- First, you have to choose the Best Spine hospitals in India or abroad and a top spine surgeon at an affordable cost for better results.
- Cost of the Endoscopic Spine Surgery in India strat from 3800 to 6000 USD.
- The patient is required to go for PSC ( Pre-surgery check-up ) to do some blood test, ECG, and ECH for Cardiac check-up and urine tests to know he /she is fit for surgery or not.
- Before the operation, you’ll be asked to sign a consent form, which gives the surgeon permission to carry out the treatment.
- The doctor should be informed about any medication that the patient may be taking.
- The patient is admitted to the hospital on the same days before the procedures and advised to remain empty stomach/Fasting.
- Thinner medicines have to be stopped before ten days of surgery.
How is Endoscopic Spine Surgery procedures done?
To identify the diagnosis doctor advised to go for complete evolution - usually, blood investigation, (CT) scans, X-ray, or magnetic resonance (MRI) imaging. Before surgery, the surgeon and anesthesia will guide you about the benefits and risk factors of Endoscopic Spine Surgery. Endoscopic Spine Surgery (ESS) is a minimally invasive surgical procedure used to treat various spine conditions such as herniated discs, spinal stenosis, and degenerative disc disease. It uses a specialized endoscope and small instruments to address spinal issues with minimal disruption to surrounding tissues. Here's an overview of how the procedure is done:
1. Preoperative Preparation
- Medical Evaluation: The patient undergoes imaging studies such as MRI or CT scans to confirm the diagnosis and identify the exact area requiring treatment.
- Anesthesia: The procedure is typically done under local anesthesia with sedation, although general anesthesia may be used in some cases.
- Positioning: The patient is positioned on their side or stomach, depending on the target area of the spine.
2. Marking the Entry Point
- Target Identification: Using fluoroscopy (real-time X-ray), the surgeon identifies and marks the precise entry point on the skin overlying the affected spinal area.
- Skin Incision: A small incision, typically less than 1 cm, is made at the entry point.
3. Creating the Surgical Pathway
- Dilator Insertion: Sequential dilators are used to create a pathway to the spine, pushing aside muscles and soft tissues rather than cutting them.
- Endoscopic Port Placement: A tubular port is inserted to maintain access to the surgical site and allow insertion of the endoscope and instruments.
4. Endoscopic Visualization
- Endoscope Insertion: A high-definition endoscope is inserted through the port, providing a magnified and illuminated view of the surgical site.
- Live Imaging: The surgeon views the procedure on a monitor, ensuring precision and minimal damage to surrounding structures.
5. Surgical Procedure
- Removal of Pathology: Using specialized instruments, the surgeon removes the problematic tissue, such as a herniated disc fragment or bone spurs causing nerve compression.
- Spinal Decompression: If needed, the procedure includes widening of the spinal canal or foramina to relieve pressure on the nerves.
6. Closure and Recovery
- Port Removal: Once the procedure is complete, the endoscope and tubular port are removed.
- Small Incision Closure: The incision is closed with a single stitch or adhesive strips, and a small bandage is applied.
- Post-Operative Monitoring: The patient is monitored for a few hours and can often return home the same day.
What is the Post Care for Endoscopic Spine Surgery?
Post-care for Endoscopic Spine Surgery (ESS) is essential to ensure proper healing, prevent complications, and optimize surgical outcomes. Here's a comprehensive guide to post-operative care following ESS:
Immediate Post-Operative Care
- Observation: After the procedure, the patient is monitored in a recovery room for a few hours to ensure stable vital signs and no immediate complications.
- Pain Management: Mild discomfort is common and managed with prescribed pain relievers, often non-steroidal anti-inflammatory drugs (NSAIDs) or acetaminophen.
- Incision Care: A small bandage covers the incision site. Keep it clean and dry, and follow specific instructions for dressing changes if needed.
2. Activity Restrictions
- Avoid Strain: Refrain from heavy lifting, bending, or twisting for the first few weeks.
- Gradual Movement: Patients are encouraged to walk short distances and gradually increase activity levels to prevent stiffness and improve circulation.
- Posture Maintenance: Use proper posture while sitting, standing, and sleeping to avoid undue stress on the spine.
3. Physical Therapy
- Rehabilitation Program: A customized physical therapy program may be initiated after a week or two to strengthen the back muscles and improve flexibility.
- Core Strengthening: Exercises focus on core stabilization to support the spine and prevent future injuries.
- Stretching and Mobility: Gentle stretches and mobility exercises help reduce stiffness and improve the range of motion.
4. Pain and Symptom Monitoring
- Nerve Sensations: Some residual numbness or tingling may persist temporarily as the nerves heal.
- Warning Signs: Contact your doctor immediately if you experience severe pain, new weakness, fever, swelling, or signs of infection at the incision site.
5. Medication Management
- Pain Relief: Continue prescribed pain medications as directed.
- Anti-Inflammatory Drugs: These may help reduce swelling and inflammation around the surgical area.
- Antibiotics: If prescribed, complete the full course to prevent infections.
6. Follow-Up Appointments
- Routine Check-Ups: Attend scheduled follow-up visits with your surgeon to monitor healing progress.
- Imaging Studies: Repeat MRI or X-rays may be done to assess the surgical site and confirm decompression or stabilization.
7. Lifestyle Modifications
- Weight Management: Maintain a healthy weight to reduce strain on the spine.
- Smoking Cessation: Avoid smoking as it can impair healing and weaken spinal structures.
- Ergonomic Adjustments: Use ergonomic chairs and supportive mattresses to maintain spinal health.
8. Return to Work and Activities
- Light Work: Most patients can return to sedentary work within 1–2 weeks.
- Strenuous Activities: Avoid heavy physical labor or sports for at least 6–8 weeks or until cleared by your doctor.
- Driving: Refrain from driving until you are pain-free and no longer taking sedating medications.
9. Long-Term Care
- Spine Health Maintenance: Regularly perform recommended exercises and maintain good posture to avoid recurrence of spinal issues.
- Periodic Monitoring: Continue occasional follow-ups with your doctor to monitor spinal health.
10. Signs to Watch For
- Infection: Redness, swelling, discharge, or persistent pain at the incision site.
- Neurological Issues: Weakness, numbness, or loss of bladder/bowel control may indicate a need for immediate medical attention.
By following these post-care guidelines and maintaining regular communication with your healthcare provider, most patients recover quickly and experience significant relief from their preoperative symptoms.
What is the Success Rate for Endoscopic Spine Surgery in India?
The success rate for Endoscopic Spine Surgery (ESS) in India is generally high, depending on the specific condition being treated, the surgeon’s expertise, and the patient’s health status. Here's an overview of the success rates for ESS in India:
General Success Rate
- Overall Success: ESS in India has a success rate of approximately 85–95%, particularly for conditions like herniated discs, spinal stenosis, and sciatica.
- Minimally Invasive Advantage: The procedure's minimally invasive nature significantly reduces complications, leading to faster recovery and high patient satisfaction.
Factors Affecting Success Rates
- Type of Condition Treated:
- Herniated Discs: ESS effectively relieves nerve compression in 90–95% of cases.
- Spinal Stenosis: Symptom relief is achieved in 80–90% of patients.
- Degenerative Disc Disease: Success rates vary but are generally around 80%.
- Surgeon’s Expertise: Experienced spine surgeons and advanced facilities in India contribute to higher success rates.
- Patient Selection: Success is greater in patients with clear indications for ESS and no severe comorbidities.
- Technology and Equipment: High-quality imaging and surgical tools used in Indian hospitals improve procedural accuracy.
Benefits Leading to High Success Rates
- Minimized Tissue Damage: Reduced muscle and tissue trauma decreases the risk of post-operative complications.
- Precision: Endoscopic visualization ensures accurate targeting of the affected area.
- Quick Recovery: Most patients experience symptom relief within days and return to normal activities faster than with traditional spine surgeries.
India-Specific Factors
- Experienced Surgeons: India has a large pool of highly skilled spine surgeons trained in advanced minimally invasive techniques.
- World-Class Facilities: Leading hospitals in India are equipped with state-of-the-art technology for ESS.
- Cost-Effectiveness: The procedure is affordable compared to global standards, making it accessible to a broader range of patients.
Patient Outcomes
- Pain Relief: Most patients report significant pain relief within the first few days to weeks after surgery.
- Improved Mobility: A majority regain full mobility and experience a substantial improvement in quality of life.
- Low Complication Rates: Due to the minimally invasive nature of ESS, complications such as infections and nerve damage are rare.
Conclusion
The high success rate of ESS in India, combined with the expertise of surgeons and access to advanced facilities, makes it an excellent choice for patients seeking minimally invasive spine surgery. As always, outcomes depend on proper diagnosis, patient selection, and adherence to post-operative care protocols.
What Questions Should Ask for Endoscopic Spine Surgery?
Reply to Questions About Endoscopic Spine Surgery (ESS):
About the Surgeon
-
Are you a board-certified spine surgeon with expertise in endoscopic procedures?
Yes, I am a board-certified spine surgeon with extensive training and expertise in performing minimally invasive procedures like Endoscopic Spine Surgery (ESS). -
How many years of experience do you have in performing endoscopic spine surgeries?
I have over [X years] of experience in spine surgery, including [Y years] specializing in endoscopic techniques. -
How many endoscopic spine surgeries do you perform annually, and what are your success rates?
I perform approximately [Z surgeries] per year, with a success rate of around 85–95%, depending on the condition treated and the patient’s overall health.
About the Procedure
-
Am I a good candidate for endoscopic spine surgery?
You may be a good candidate if you have a clearly identified spinal condition like a herniated disc, spinal stenosis, or sciatica, and conservative treatments have not been effective. A detailed evaluation, including imaging studies, will determine your suitability. -
What conditions can this surgery treat, and how effective is it for my specific condition?
ESS effectively treats herniated discs, spinal stenosis, sciatica, degenerative disc disease, and some cases of spondylolisthesis. The procedure is highly effective for relieving pain and restoring mobility in most patients. -
What are the steps involved in the endoscopic spine surgery procedure?
The surgery involves making a small incision, inserting a tubular retractor, using an endoscope for visualization, and removing or repairing the affected tissue. The procedure is minimally invasive, resulting in less tissue damage and quicker recovery. -
Will I need general anesthesia, or is the surgery performed under local anesthesia?
Most ESS procedures are performed under local anesthesia with sedation. However, general anesthesia may be used in certain cases. -
How long does the surgery typically take?
The surgery typically takes 45 minutes to 2 hours, depending on the complexity of the condition. -
What makes endoscopic spine surgery better than traditional open spine surgery?
ESS is minimally invasive, involves smaller incisions, causes less tissue damage, reduces pain and scarring, and offers faster recovery compared to traditional open surgery.
Risks and Complications
-
What are the potential risks and complications associated with ESS?
Risks include infection, nerve damage, recurrence of symptoms, or minor bleeding. However, the likelihood of complications is very low due to the minimally invasive nature of ESS. -
How often do complications occur in your experience?
In my practice, complications occur in less than 5% of cases, and most are minor and manageable. -
What happens if the surgery doesn’t alleviate my symptoms?
If symptoms persist, further evaluation will be done to determine the cause, and additional treatments or surgeries may be recommended. -
Will I need a blood transfusion during this procedure?
Blood transfusions are rarely required in ESS because there is minimal blood loss.
Recovery and Post-Care
-
How long will it take to recover fully from the surgery?
Most patients recover within 2–6 weeks and can resume normal activities within a few days to a couple of weeks. -
What kind of pain or discomfort should I expect after surgery?
Mild discomfort or soreness at the incision site is common but manageable with pain relievers. -
Will I need physical therapy after the procedure?
Physical therapy may be recommended to strengthen the spine and improve mobility. -
When can I return to work and resume normal activities?
Patients with desk jobs can usually return to work within a week, while those with physically demanding jobs may need 4–6 weeks. -
How do I care for the incision site to prevent infection?
Keep the incision clean and dry. Follow specific instructions for wound care and report any signs of infection, such as redness or swelling.
Outcomes and Success
-
What is the success rate for this procedure in cases like mine?
Success rates are generally 85–95%, depending on the specific condition and individual factors. -
How long will the benefits of the surgery last?
Benefits are typically long-lasting, especially if lifestyle adjustments are made to maintain spinal health. -
Will I need another surgery in the future for the same condition?
While rare, repeat surgeries may be required if new spinal issues develop or symptoms recur.
Costs and Logistics
-
What is the total cost of the surgery, including hospital stays and follow-ups?
The cost varies depending on the hospital and complexity of the procedure, typically ranging from ₹2,00,000 to ₹5,00,000 in India. -
Does my insurance cover this procedure?
Most insurance policies cover ESS, but it's best to check with your provider for specifics. -
How many days will I need to stay in the hospital, and is the procedure outpatient or inpatient?
ESS is often an outpatient procedure, but some cases may require a 1-day hospital stay.
Technology and Facility
-
What equipment and techniques are used for endoscopic spine surgery in your facility?
We use state-of-the-art endoscopes, high-definition cameras, and minimally invasive surgical instruments for precision and safety. -
Are robotic or advanced imaging techniques used to guide the surgery?
Yes, we use advanced imaging technologies like fluoroscopy and, in some cases, robotic assistance for optimal accuracy. -
How experienced is the surgical team in handling complex cases?
Our team is highly skilled and has handled numerous complex spine cases with excellent outcomes.
Follow-Up Care
-
What follow-up appointments or tests will I need after surgery?
Regular follow-ups are scheduled to monitor healing, and imaging may be done to confirm surgical success. -
Are there any restrictions or lifestyle changes I’ll need to make after surgery?
Avoid heavy lifting, maintain proper posture, and engage in exercises to strengthen your core and spine. -
What warning signs should I watch for after the surgery?
Watch for signs of infection, worsening pain, or neurological symptoms such as weakness or numbness, and contact your doctor if they occur.
Top Doctors
DR ROHAN SINHA
16 Years of ExperienceDR SAURABH RAWALL
10 Years of ExperienceDR RANA PATIR
30 Years of ExperiencePROF COL DR BIPIN WALIA
24 Years of ExperienceDR ANIL KUMAR KANSAL
27 Years of ExperienceDR VIKAS GUPTA
30 Years of ExperienceDR RAHUL GUPTA
19 Years of ExperienceDR ARUN SAROHA
19 Years of ExperienceDR TARUN SURI
20 Years ExperienceTop Hospitals
KOKILABEN DHIRUBHAI AMBANI HOSPITAL
Maharashtra, IndiaCOLUMBIA ASIA HOSPITAL
Karnataka, IndiaASTER CMI HOSPITAL
Karnataka, IndiaAMRI HOSPITAL
Kolkata, IndiaASIAN HOSPITAL IN FARIDABAD
Haryana, IndiaGLENEAGLES GLOBAL HOSPITAL
Chennai, IndiaMEDANTA HOSPITAL
Haryana, IndiaAPOLLO HOSPITAL IN DELHI
Delhi, IndiaARTEMIS HOSPITAL
Haryana, IndiaBLK HOSPITAL
Delhi, IndiaFORTIS HOSPITAL
Haryana, IndiaJAYPEE HOSPITAL
Uttar Pradesh, IndiaMAX HOSPITAL
Delhi, IndiaBUMRUNGRAD HOSPITAL
Bangkok, ThailandMOUNT ELIZABETH HOSPITAL
Singapore, SingaporeMEDICALPARK HOSPITAL
Bahcelievler, TurkeyMANIPAL HOSPITAL
Delhi, IndiaPSRI HOSPITAL
Delhi, IndiaAMRITA HOSPITAL
Haryana, IndiaENDOSCOPIC SPINE SURGERY COST IN INDIA
Duration of Treatment
usually takes 30 to 60 minutes.
Days of Stay
Usually 2 to 3 days in the hospital and 5 days outside the hospital.
Anesthesia
Local anaesthesia or sedation.
Cost
3800 to 6000 USD
How much does Endoscopic Spine Surgery Cost in India?
"Looking for Endoscopic Spine Surgery Cost India or Best Endoscopic Spine Surgeon at an affordable cost in different cities like Delhi, Mumbai, Chennai, Kolkata, and Bangalore? Here, we answer the question and explain how to choose the best neuro hospital list for better results.
We have also shortlisted the list of best top Hospitals and Surgeons on the basis of Hospital accreditations, experience & qualification of surgeons, success rates of procedures, and patient testimonials.
- Endoscopic Spine Surgery Cost in India: Starting from 3800 to 6000 USD
- Endoscopic lumbar discectomy cost: Starting from 3800 to 6000 USD
- Hotel Cost Near Hospital - starting from 18 to 50 USD ( as per hotel services)
- Food Cost - starting from 20 to 30 USD (per day )
- Miscellaneous cost - 20 USD (per day)
- It's an only rough estimate, final treatment will plan after the fresh evaluation reports.
- In India, Endoscopic Spine Surgery Cost can vary as per the diagnosis, patient conditions, surgeon experience, Implant quality, hospital facilities, and city.
- To make an appointment, learn more about Spine, read below information, or call / WhatsApp/ Viber - our experts to answer at +91 9582708782." Still, have questions? SUBMIT ENQUIRY
Who is the Top Best Spine Surgeon in India?
- Dr. Bipin Walia
- Dr. Rana Patir
- Dr. Anil Kumar Kansa
- Dr. Vikas Gupta
- Dr. Puneet Girdhar
- Dr. Saurabh Verma
- Dr. Aditya Gupta
- Dr. Sunit Mediratta
- Dr. Rahul Gupta
- Dr. Arun Saroha
- Dr. Anandh Balasubramaniam
- Dr. Shibu Vasudevan Pillai
Which is the best Spine surgery hospital in India?
- ARTEMIS HOSPITAL
- MANIPAL HOSPITAL
- BLK HOSPITAL
- APOLLO HOSPITAL
- FORTIS HOSPITAL
- MAX HOSPITAL
- MEDANTA HOSPITAL
- YASHODHA HOSPITAL
- GLOBAL HOSPITAL
- NARAYANA HOSPITAL
Why did you choose Peace Medical Tourism?
We are one of the best healthcare services providers for more than 10 years of experience to provide the best treatment at an affordable cost and guide our international patients to choose the top destination as per patient's budget and treatment.
- Comprehensive and 100% transparency.
- Help to Choose the Best Option for weight loss Treatment.
- Very highly skilled Spine surgeon in India team.
- World-class technology for surgery.
- The high success rate of procedures with international standards.
- Affordable Cost of Minimally Invasive Endoscopic Spine Surgery.
What is Endoscopic Spine Surgery?
Endoscopic Spine Surgery is an advanced surgical procedure that uses a small tubular system or micro-incisions, assisted with an endoscope or microscope to get quick recovery, less pain, minimal soft tissue damage, and small incisions.
What are the types of Endoscopic Surgery?
- Endoscopic Discectomy- By this procedure, the surgeon used to treat back pain of lumbar disc tear, bulging disc, herniated disc, radiculitis or radiculopathy.
- Endoscopic Foraminotomy- By this procedure, the surgeon is used to treat bone spurs, protruded discs, scars, ligament overgrowth, and lumbar facet joint disease.
- Endoscopic Cervical Discectomy- By this procedure, the surgeon used to treat for the neck pain treatment of cervical disc tear, herniated disc, bulging disc or brachial neuritis.
- Extreme Lateral Interbody Fusion- By this procedure, the surgeon is used to treat degenerative disc disease.
- Laser Facet Rhizotomy- By this procedure the surgeon used to treat chronic back pain from bone spurs, neck syndrome, facet joint disease, and failed back.
Still, have questions? SUBMIT ENQUIRY
symptoms
What are the Signs and Symptoms of Endoscopic Spine Surgery?
- Sudden & severe back pain
- Numbness or tingling in a hand, arm, foot or leg
- Problems with walking and balance
- Some pain relief when lying down
- Difficulty and pain when bending or twisting
- Deformity of the spine
- Patients with lumbar spinal disc herniations
- Slip disc (Lumbar & Cervical Disc Herniation)
- cervical spine (neck) or lumbar spine (Lower Back)
- Bending to the floor to pick something up
- Slipping on a rug or making a misstep
risk factors
What are the risk factors of Endoscopic Spine Surgery?
- Risks of anesthesia
- Numbness
- Leaking spinal fluid
- Damage to nerves or muscles
- Bleeding
- Infection
- Temporary dizziness
- Nerve paralysis
preparation
How to Prepare for Endoscopic Spine Surgery?
- First, you have to choose the Best Spine hospitals in India or abroad and a top spine surgeon at an affordable cost for better results.
- Cost of the Endoscopic Spine Surgery in India strat from 3800 to 6000 USD.
- The patient is required to go for PSC ( Pre-surgery check-up ) to do some blood test, ECG, and ECH for Cardiac check-up and urine tests to know he /she is fit for surgery or not.
- Before the operation, you’ll be asked to sign a consent form, which gives the surgeon permission to carry out the treatment.
- The doctor should be informed about any medication that the patient may be taking.
- The patient is admitted to the hospital on the same days before the procedures and advised to remain empty stomach/Fasting.
- Thinner medicines have to be stopped before ten days of surgery.
procedure
How is Endoscopic Spine Surgery procedures done?
To identify the diagnosis doctor advised to go for complete evolution - usually, blood investigation, (CT) scans, X-ray, or magnetic resonance (MRI) imaging. Before surgery, the surgeon and anesthesia will guide you about the benefits and risk factors of Endoscopic Spine Surgery. Endoscopic Spine Surgery (ESS) is a minimally invasive surgical procedure used to treat various spine conditions such as herniated discs, spinal stenosis, and degenerative disc disease. It uses a specialized endoscope and small instruments to address spinal issues with minimal disruption to surrounding tissues. Here's an overview of how the procedure is done:
1. Preoperative Preparation
- Medical Evaluation: The patient undergoes imaging studies such as MRI or CT scans to confirm the diagnosis and identify the exact area requiring treatment.
- Anesthesia: The procedure is typically done under local anesthesia with sedation, although general anesthesia may be used in some cases.
- Positioning: The patient is positioned on their side or stomach, depending on the target area of the spine.
2. Marking the Entry Point
- Target Identification: Using fluoroscopy (real-time X-ray), the surgeon identifies and marks the precise entry point on the skin overlying the affected spinal area.
- Skin Incision: A small incision, typically less than 1 cm, is made at the entry point.
3. Creating the Surgical Pathway
- Dilator Insertion: Sequential dilators are used to create a pathway to the spine, pushing aside muscles and soft tissues rather than cutting them.
- Endoscopic Port Placement: A tubular port is inserted to maintain access to the surgical site and allow insertion of the endoscope and instruments.
4. Endoscopic Visualization
- Endoscope Insertion: A high-definition endoscope is inserted through the port, providing a magnified and illuminated view of the surgical site.
- Live Imaging: The surgeon views the procedure on a monitor, ensuring precision and minimal damage to surrounding structures.
5. Surgical Procedure
- Removal of Pathology: Using specialized instruments, the surgeon removes the problematic tissue, such as a herniated disc fragment or bone spurs causing nerve compression.
- Spinal Decompression: If needed, the procedure includes widening of the spinal canal or foramina to relieve pressure on the nerves.
6. Closure and Recovery
- Port Removal: Once the procedure is complete, the endoscope and tubular port are removed.
- Small Incision Closure: The incision is closed with a single stitch or adhesive strips, and a small bandage is applied.
- Post-Operative Monitoring: The patient is monitored for a few hours and can often return home the same day.
post procedure
What is the Post Care for Endoscopic Spine Surgery?
Post-care for Endoscopic Spine Surgery (ESS) is essential to ensure proper healing, prevent complications, and optimize surgical outcomes. Here's a comprehensive guide to post-operative care following ESS:
Immediate Post-Operative Care
- Observation: After the procedure, the patient is monitored in a recovery room for a few hours to ensure stable vital signs and no immediate complications.
- Pain Management: Mild discomfort is common and managed with prescribed pain relievers, often non-steroidal anti-inflammatory drugs (NSAIDs) or acetaminophen.
- Incision Care: A small bandage covers the incision site. Keep it clean and dry, and follow specific instructions for dressing changes if needed.
2. Activity Restrictions
- Avoid Strain: Refrain from heavy lifting, bending, or twisting for the first few weeks.
- Gradual Movement: Patients are encouraged to walk short distances and gradually increase activity levels to prevent stiffness and improve circulation.
- Posture Maintenance: Use proper posture while sitting, standing, and sleeping to avoid undue stress on the spine.
3. Physical Therapy
- Rehabilitation Program: A customized physical therapy program may be initiated after a week or two to strengthen the back muscles and improve flexibility.
- Core Strengthening: Exercises focus on core stabilization to support the spine and prevent future injuries.
- Stretching and Mobility: Gentle stretches and mobility exercises help reduce stiffness and improve the range of motion.
4. Pain and Symptom Monitoring
- Nerve Sensations: Some residual numbness or tingling may persist temporarily as the nerves heal.
- Warning Signs: Contact your doctor immediately if you experience severe pain, new weakness, fever, swelling, or signs of infection at the incision site.
5. Medication Management
- Pain Relief: Continue prescribed pain medications as directed.
- Anti-Inflammatory Drugs: These may help reduce swelling and inflammation around the surgical area.
- Antibiotics: If prescribed, complete the full course to prevent infections.
6. Follow-Up Appointments
- Routine Check-Ups: Attend scheduled follow-up visits with your surgeon to monitor healing progress.
- Imaging Studies: Repeat MRI or X-rays may be done to assess the surgical site and confirm decompression or stabilization.
7. Lifestyle Modifications
- Weight Management: Maintain a healthy weight to reduce strain on the spine.
- Smoking Cessation: Avoid smoking as it can impair healing and weaken spinal structures.
- Ergonomic Adjustments: Use ergonomic chairs and supportive mattresses to maintain spinal health.
8. Return to Work and Activities
- Light Work: Most patients can return to sedentary work within 1–2 weeks.
- Strenuous Activities: Avoid heavy physical labor or sports for at least 6–8 weeks or until cleared by your doctor.
- Driving: Refrain from driving until you are pain-free and no longer taking sedating medications.
9. Long-Term Care
- Spine Health Maintenance: Regularly perform recommended exercises and maintain good posture to avoid recurrence of spinal issues.
- Periodic Monitoring: Continue occasional follow-ups with your doctor to monitor spinal health.
10. Signs to Watch For
- Infection: Redness, swelling, discharge, or persistent pain at the incision site.
- Neurological Issues: Weakness, numbness, or loss of bladder/bowel control may indicate a need for immediate medical attention.
By following these post-care guidelines and maintaining regular communication with your healthcare provider, most patients recover quickly and experience significant relief from their preoperative symptoms.
success rate
What is the Success Rate for Endoscopic Spine Surgery in India?
The success rate for Endoscopic Spine Surgery (ESS) in India is generally high, depending on the specific condition being treated, the surgeon’s expertise, and the patient’s health status. Here's an overview of the success rates for ESS in India:
General Success Rate
- Overall Success: ESS in India has a success rate of approximately 85–95%, particularly for conditions like herniated discs, spinal stenosis, and sciatica.
- Minimally Invasive Advantage: The procedure's minimally invasive nature significantly reduces complications, leading to faster recovery and high patient satisfaction.
Factors Affecting Success Rates
- Type of Condition Treated:
- Herniated Discs: ESS effectively relieves nerve compression in 90–95% of cases.
- Spinal Stenosis: Symptom relief is achieved in 80–90% of patients.
- Degenerative Disc Disease: Success rates vary but are generally around 80%.
- Surgeon’s Expertise: Experienced spine surgeons and advanced facilities in India contribute to higher success rates.
- Patient Selection: Success is greater in patients with clear indications for ESS and no severe comorbidities.
- Technology and Equipment: High-quality imaging and surgical tools used in Indian hospitals improve procedural accuracy.
Benefits Leading to High Success Rates
- Minimized Tissue Damage: Reduced muscle and tissue trauma decreases the risk of post-operative complications.
- Precision: Endoscopic visualization ensures accurate targeting of the affected area.
- Quick Recovery: Most patients experience symptom relief within days and return to normal activities faster than with traditional spine surgeries.
India-Specific Factors
- Experienced Surgeons: India has a large pool of highly skilled spine surgeons trained in advanced minimally invasive techniques.
- World-Class Facilities: Leading hospitals in India are equipped with state-of-the-art technology for ESS.
- Cost-Effectiveness: The procedure is affordable compared to global standards, making it accessible to a broader range of patients.
Patient Outcomes
- Pain Relief: Most patients report significant pain relief within the first few days to weeks after surgery.
- Improved Mobility: A majority regain full mobility and experience a substantial improvement in quality of life.
- Low Complication Rates: Due to the minimally invasive nature of ESS, complications such as infections and nerve damage are rare.
Conclusion
The high success rate of ESS in India, combined with the expertise of surgeons and access to advanced facilities, makes it an excellent choice for patients seeking minimally invasive spine surgery. As always, outcomes depend on proper diagnosis, patient selection, and adherence to post-operative care protocols.
faqs from doctor
What Questions Should Ask for Endoscopic Spine Surgery?
Reply to Questions About Endoscopic Spine Surgery (ESS):
About the Surgeon
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Are you a board-certified spine surgeon with expertise in endoscopic procedures?
Yes, I am a board-certified spine surgeon with extensive training and expertise in performing minimally invasive procedures like Endoscopic Spine Surgery (ESS). -
How many years of experience do you have in performing endoscopic spine surgeries?
I have over [X years] of experience in spine surgery, including [Y years] specializing in endoscopic techniques. -
How many endoscopic spine surgeries do you perform annually, and what are your success rates?
I perform approximately [Z surgeries] per year, with a success rate of around 85–95%, depending on the condition treated and the patient’s overall health.
About the Procedure
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Am I a good candidate for endoscopic spine surgery?
You may be a good candidate if you have a clearly identified spinal condition like a herniated disc, spinal stenosis, or sciatica, and conservative treatments have not been effective. A detailed evaluation, including imaging studies, will determine your suitability. -
What conditions can this surgery treat, and how effective is it for my specific condition?
ESS effectively treats herniated discs, spinal stenosis, sciatica, degenerative disc disease, and some cases of spondylolisthesis. The procedure is highly effective for relieving pain and restoring mobility in most patients. -
What are the steps involved in the endoscopic spine surgery procedure?
The surgery involves making a small incision, inserting a tubular retractor, using an endoscope for visualization, and removing or repairing the affected tissue. The procedure is minimally invasive, resulting in less tissue damage and quicker recovery. -
Will I need general anesthesia, or is the surgery performed under local anesthesia?
Most ESS procedures are performed under local anesthesia with sedation. However, general anesthesia may be used in certain cases. -
How long does the surgery typically take?
The surgery typically takes 45 minutes to 2 hours, depending on the complexity of the condition. -
What makes endoscopic spine surgery better than traditional open spine surgery?
ESS is minimally invasive, involves smaller incisions, causes less tissue damage, reduces pain and scarring, and offers faster recovery compared to traditional open surgery.
Risks and Complications
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What are the potential risks and complications associated with ESS?
Risks include infection, nerve damage, recurrence of symptoms, or minor bleeding. However, the likelihood of complications is very low due to the minimally invasive nature of ESS. -
How often do complications occur in your experience?
In my practice, complications occur in less than 5% of cases, and most are minor and manageable. -
What happens if the surgery doesn’t alleviate my symptoms?
If symptoms persist, further evaluation will be done to determine the cause, and additional treatments or surgeries may be recommended. -
Will I need a blood transfusion during this procedure?
Blood transfusions are rarely required in ESS because there is minimal blood loss.
Recovery and Post-Care
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How long will it take to recover fully from the surgery?
Most patients recover within 2–6 weeks and can resume normal activities within a few days to a couple of weeks. -
What kind of pain or discomfort should I expect after surgery?
Mild discomfort or soreness at the incision site is common but manageable with pain relievers. -
Will I need physical therapy after the procedure?
Physical therapy may be recommended to strengthen the spine and improve mobility. -
When can I return to work and resume normal activities?
Patients with desk jobs can usually return to work within a week, while those with physically demanding jobs may need 4–6 weeks. -
How do I care for the incision site to prevent infection?
Keep the incision clean and dry. Follow specific instructions for wound care and report any signs of infection, such as redness or swelling.
Outcomes and Success
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What is the success rate for this procedure in cases like mine?
Success rates are generally 85–95%, depending on the specific condition and individual factors. -
How long will the benefits of the surgery last?
Benefits are typically long-lasting, especially if lifestyle adjustments are made to maintain spinal health. -
Will I need another surgery in the future for the same condition?
While rare, repeat surgeries may be required if new spinal issues develop or symptoms recur.
Costs and Logistics
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What is the total cost of the surgery, including hospital stays and follow-ups?
The cost varies depending on the hospital and complexity of the procedure, typically ranging from ₹2,00,000 to ₹5,00,000 in India. -
Does my insurance cover this procedure?
Most insurance policies cover ESS, but it's best to check with your provider for specifics. -
How many days will I need to stay in the hospital, and is the procedure outpatient or inpatient?
ESS is often an outpatient procedure, but some cases may require a 1-day hospital stay.
Technology and Facility
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What equipment and techniques are used for endoscopic spine surgery in your facility?
We use state-of-the-art endoscopes, high-definition cameras, and minimally invasive surgical instruments for precision and safety. -
Are robotic or advanced imaging techniques used to guide the surgery?
Yes, we use advanced imaging technologies like fluoroscopy and, in some cases, robotic assistance for optimal accuracy. -
How experienced is the surgical team in handling complex cases?
Our team is highly skilled and has handled numerous complex spine cases with excellent outcomes.
Follow-Up Care
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What follow-up appointments or tests will I need after surgery?
Regular follow-ups are scheduled to monitor healing, and imaging may be done to confirm surgical success. -
Are there any restrictions or lifestyle changes I’ll need to make after surgery?
Avoid heavy lifting, maintain proper posture, and engage in exercises to strengthen your core and spine. -
What warning signs should I watch for after the surgery?
Watch for signs of infection, worsening pain, or neurological symptoms such as weakness or numbness, and contact your doctor if they occur.