Posted by: wockhardthospitals | June 23, 2009

Single Stitch Surgery for Back Pain using Yeung endoscope , Patient Walks Home in 24 Hrs

Wockhardt Hospitals, Kalyan successfully performed a minimally invasive spine surgery on a 49-year-old man suffering from severe backache. The procedure termed Percutaneous Endoscopic Lumbar Discectomy (PELD) was performed with a single incision under local anesthesia.

The patient, Sunil Ghag, who was suffering from acute back pain due to slipped disc, didn’t find much help with Non-Steroidal Anti-Inflammatory Drugs (NSAID) and intermittent pelvic tractions. He then sought surgical intervention to obtain relief.

“The patient had two options,” recalls Dr Vikas Gupte, consultant spine surgeon, Wockhardt Hospitals, “He could either opt for the conventional open discectomy, or the minimally invasive PELD under local anaesthesia.” The patient opted for PELD for two reasons: minimal chances of root injuries and immediate return to normalcy.

Explaining the procedure, Dr Gupte says, “The patient was made to lie face down on a special operation table and the exact entry point was mapped using image intensifier x-ray system.

A long spinal needle was then passed from the side of the back and a guide wire passed through it. A camera and the monitor were attached to an endoscope that was passed through the incision.

The prolapsed part of the disc was then removed. The surgery lasted 40 minutes and the wound was closed with a single stitch.” The patient was able to walk without any pain and discharged 24 hours after the operation.

Dr Deepu Banerjee, neurosurgeon, Wockhardt Hospitals, points out that the instrumentation using YESS technique (Yeung Endoscopic Spine System) facilitates direct view of the disc fragments in the spine thus minimising muscle, ligament and tissue damage. “Even the nerve roots are clearly visible through the powerful camera of the Yeung endoscope,” he adds.

Advantages of PELD with YESS technique

* Tiny skin incision
* No muscle, ligament or normal tissue damage
* No blood loss
* Patient can be discharged on the same day

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