Percutaneous endoscopic treatment of the intervertebral disc

The innovative system allows safe and efficient access to the damaged intervertebral disc without damaging the surrounding structures. This method provides the possibility of treating a partially herniated disc in patients who have not been successfully treated with conservative treatment, do not want to undergo or are not yet ready for major surgery.

How does the procedure work?

The procedure occurs in three phases. During the first phase, a special needle is inserted into the intervertebral disc, which serves as a working channel. A second, surgical micro-instrument is introduced through this needle to remove a portion of the degenerated internal tissue. By removing a part of the nucleus, decompression takes place under the herniated disc and consequently the pressure on the nerve root is relieved. The intervertebral disc is then sealed with a radio frequency probe to reduce the risk of repeated ejection. Finally, the pathological nerves in the back of the intervertebral disc are destroyed with radiofrequency.

  • Procedure without hospitalization
  • Procedure under local anesthesia in combination with mild analgesia
  • Duration of the procedure: approx. 30 – 60 minutes

What happens after the procedure

  • After the procedure, the patient stays in the resting room for about 120 minutes and can then return home accompanied by another person.
  • It is not possible to drive a car after the procedure.
  • For the first 2-3 days, maximum bed rest is recommended, with limited seating and standing.
  • From the 7th day after the operation, the patient enters the postoperative regimen with movement recommendations, exercise and physiotherapy.
  • Returning to normal activities and to work is very individual. It depends on the patient’s state of health, the process of soft tissue healing, last but not least, your type of job, etc. This is usually 4 to 6 weeks after the procedure.

How recovery takes place

The aim of the treatment is to achieve pain relief by completely removing the pain or reducing its intensity and thus improve the patient’s quality of life. During recovery, it is, therefore, necessary to actively participate in the programme of postoperative and physical measures, which will help you recover faster and return to normal life. Your doctor will instruct you in detail about these measures immediately after the procedure. A “hotline” is available for patients immediately after the endoscopic surgery, where they can turn to a specialized nurse with any questions.

Diagnostic performance:

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