PROCEDURES EXPLAINEDEndoscopic Spine
Endoscopic procedures of the spine are a minimally invasive approach to spinal operation. These procedures rely on visualization using a flexible endoscope, and a tubular system of tools for tissue manipulation. Offering reduced recovery times and improved safety profiles, endoscopic spine surgery is a treatment of choice for many patients.
Patients experience reduced trauma to their surrounding tissues and ligaments due to the surgical technique, enabling them to return home the same day and experience a faster recovery after surgery.
— Dr. Ashish Patel, MD
What to Expect
- You will have an IV placed in your arm or hand for the delivery of anesthetic to put you into a deep sleep and prevent pain during your surgery.
- Your surgical team will usually consist of a vascular surgeon as well as an orthopedic or neurosurgeon.
- A small incision will be made at the operation site to facilitate the passage of endoscopic tools.
- The procedures discussed with your surgeon will be performed, relating to the unique needs of your case.
- After completion, the incision is then closed, and steri-strips may be placed to facilitate healing.
- You will then be taken to a recovery area for close monitoring until you awaken. You will still have your IV, and may have a catheter to help facilitate urination while you recover. You may also have a sore throat from intubation. When you are fully alert and awake, you will then be returned to your hospital room.
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Common Risks and/or Frequently Asked Questions
Bleeding
Blood clots
Nerve damage
Return of symptoms
Infection
Post Procedural Instructions
- Activity Restriction
- Pain Management
- Incision Care
- Call if
- Desk jobs may be returned to in about 2 weeks, but others may require 4 weeks or more
- Do not drive or operate heavy machinery while taking narcotics
- Do not try to lift more than 10 pounds
- Do not smoke
- Walk as often as is comfortable on non-slippery surfaces
- Be mindful of body motion practices, as discussed with your physical therapist
- Post-procedural pain may last days to weeks as the inflammation subsides
- Do NOT take NSAIDs in the first few months following surgery, as they can interfere with the bone healing process
- Take your prescribed pain medication as recommended, and inform your care team if relief is inadequate. It is normal to feel some degree of pain during the recovery process, but it should not be excruciating.
- Unless otherwise stated, your incisions are most likely sutured from the inside.
- Dressings may be removed about 48 hours after surgery, and incisions should be washed with soap and water
- Do NOT soak the incision site, baths, hot tubs, and pools should be avoided for 2-3 weeks until the wounds have fully healed
- Sunblock with SPF 30 or greater may be used to protect healing skin from discoloration, as new skin will lack the sun protectant pigment melanin
- Fever of 101.5 F or greater
- Redness, swelling, warmth around the incision site
- New neurological symptoms, such as weakness or loss of sensation that was not present before
- Loss of bowel or bladder control that is new
- Severe Pain
- Difficulty swallowing or speaking
- Severe Headaches
- Calf Swelling, as this may be a sign of thrombosis
- Chest pain, difficulty breathing, or cough
Common
Recovery Timeline
Endoscopic surgeries offer improved recovery timelines due to their minimally invasive approach. Patients of less involved procedures such as discectomies can expect to be resuming normal activities within days, while spinal fusion surgeries may require 12 weeks or more.
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