Percutaneous Endoscopic Discectomy
Percutaneous Endoscopic Discectomy - Related Videos
03:24
A Suture Technique for Ruptured Annulus Fibrosus Following Decompression Under Percutaneous Transforaminal Endoscopic Discectomy
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Cited by 2 •
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This protocol describes an innovative suture technique for ruptured annular fibrosus during percutaneous transforaminal endoscopic discectomy.
01:24
Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
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The present protocol describes the full-endoscopic transforaminal approach for lumbar discectomy, which is a safe technique that does not require muscle retraction or bone removal.
08:20
Percutaneous Cricothyrotomy
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2023
Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA A surgical airway procedure is indicated when other forms of endotracheal intubation have failed and ventilation is worsening or not possible. This is the feared "can't intubate, can't ventilate" scenario, and in the emergency setting, cricothyrotomy is the surgical procedure of choice. Cricothyrotomy is preferred over tracheotomy because of the lower risk of complications, the predictable anatomy...
06:11
Anterior Cervical Discectomy and Fusion in the Ovine Model
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Cited by 9 •
2009
This video demonstrates the technique of anterior cervical discectomy and fusion in the ovine model.
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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2023
This protocol demonstrates in detail how to perform fully endoscopic mitral valve surgery (EMS) with percutaneous cannulation of the groin vessels, using a percutaneous plug-based vascular closure device. Fundamental steps and useful instructions are described in detail for each step.
FAQs
The endoscope lets the operator view the affected spinal region directly while working through a narrow channel. This visualization helps identify the herniated or extruded fragment responsible for nerve compression and guides specialized instruments during its removal. The approach limits unnecessary disruption of surrounding tissues, which is a central procedural advantage.
Radicular pain arises when disc material compresses a spinal nerve. Extracting the fragment targets the structural source of that compression rather than addressing symptoms alone. When the compression is relieved, patients may experience improvement in nerve-related pain and function. The expected benefit depends on selecting cases in which the disc fragment is responsible for the symptoms.
These components establish a controlled access route to the affected disc. A guidewire helps define the pathway, and the dilator enlarges it enough to accommodate the working channel. The endoscope and instruments then pass through this channel, allowing fragment removal through a small incision while limiting disturbance to nearby tissues.
Its distinguishing feature is access through a small incision and a narrow working channel rather than broad exposure of the operative area. Endoscopic visualization and specialized instruments support focused removal of the compressing fragment. This design can reduce disruption of surrounding tissues, making the technique a minimally invasive option for appropriately selected patients.
The procedure begins by establishing access through a small skin incision. A guidewire and dilator create the route for the working channel, and an endoscope is introduced to visualize the affected area. Specialized instruments are then used to extract the herniated or extruded disc fragment that is compressing the spinal nerve.
Clinicians may consider percutaneous endoscopic discectomy for selected patients whose radicular pain is associated with a herniated or extruded disc fragment compressing a spinal nerve. The intended outcomes include relief of nerve-related symptoms and improved function. In medicine, it also illustrates how image-guided, minimally invasive methods can address spinal pathology while limiting tissue trauma.