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ENDOSCOPIC DISCECTOMY   (Sutureless & Blood less Pin hole technique for Slipped Disc) ENDOSCOPIC DISSECTOMY and Microdiscectomy If you suffer from Low Back Pain or Sciatica that has failed to respond to conservative treatment, this revolutionary treatment may be an option for you. What is a DISSECTOMY? A Discectomy is a cutting-edge, minimally invasive procedure proven to reduce pain caused by Disc herniations (Sciatica) that are unresponsive to conservative, non-surgical therapy. Also called Microlumbar discectomy (MLD), this is a truly advanced procedure whereby a physician can remove the herniated or protruding portion of an intervertebral disc that is compressing the spinal cord and affecting the nerve root – essentially shrinking an injured or bulging disc, taking pressure off of a painful nerve and reducing pain. A Discectomy is a safe and effective procedure that has been performed on over 100, 000 patients around the world.  Compared to conventional spine surgery, there is less post-operative pain, faster recovery and a quicker return to the activities you love. INDICATIONS: A Discectomy is a minimally invasive procedure indicated for pain that has failed to respond to conservative treatments and therapy (i.e. medication, physical therapy, epidural injections, radiofrequency ablation, etc). Including: 1.Low Back Pain 2.Buttock Pain 3.Sciatica 4.Lumbar Radiculopathy (low back pain that radiates into the leg(s) 5.Discogenic Pain What Are The BENEFITS? This revolutionary procedure has been proven to reduce pain and restore function in patients with Low Back Pain and Sciatica. Because this is a minimally invasive procedure there are a number of BENEFITS : 1.Smaller incisions 2.Smaller, more cosmetically pleasing scars 3.Less pain 4.Decreased postoperative narcotics 5.Reduced operative time 6.Less soft tissue damage, due to reduced muscle retraction 7.Reduced blood loss 8.Less painful surgical incisions that heal faster 9.Faster recovery 10.Less postoperative pain 11.Many times can be performed as an outpatient 12.Quicker return to work and activities More Details How Does It Work? A discectomy is an outpatient procedure that is typically performed in one of three ways: (A)Percutaneous Discectomy – A small percutaneous (through the skin via a needle-puncture) probe is inserted into the disc and a small amount of the center of the disc is removed. (B)Microdiscectomy – A small incision is made in the skin and a special retractor is used to allow your physician to visualize the disc. Once the disc is visible, small instruments are used to shrink the disc under direct visualization. (C)ENDOSCOPIC DISCECTOMY  – A small incision in the skin is made (approximately 1 inch) and then a port is inserted and advanced down onto the disc. Then an endoscope is inserted through the port. This allows your physician to see the disc and surrounding tissue on a large monitor using the camera to transmit images of the disc. Then the procedure is performed by passing instruments through the endoscope to accomplish the same goal as a pair of hands. The light illuminates the area of the procedure and the camera provides surgeons with an inside view, enabling surgical access to the affected area of the spine. When Will I Feel Better? The positive effects of the procedure varies from person to person.  Some patients report pain relief immediately.  As the procedure takes place in 2 parts (the removal of the excess disc material then the cauterization of the damaged disc lining) the healing/pain relief is felt in 2 phases.   There will be some initial pain relief that will take place within the first week after the procedure as a result of the removal of excess disc material causing the disc to bulge or herniate. With the extra material is gone, the pressure on the spine will be relieved somewhat. The second phase of relief is due to the cauterization of the disc lining – this can take up to 6 weeks to fully take effect. Is a Discectomy Right for Me? If traditional treatments and therapies have not provided you relief, a discectomy may be an option. It’s LESS AGGRESSIVE and LESS EXPENSIVE than major surgery. The procedure is minimally invasive by nature and the RECOVERY TIME is drastically SHORTER.   If you are suffering from Chronic Back Pain or Sciatica due to a Disc herniation, contact to Dr.Ravi khatri Pain Physician DARD The Ortho & Cancer Pain managment centre Jaipur Rajasthan today and schedule an appointment . to see if you are a candidate for one of these state of the art treatments. DARD The Ortho & Cancer Pain Managment centre is dedicated to patient care and pain relief. We strive to help patients avoid major surgery, and we are deeply committed to excellence in personal healthcare.
Sciatica with LOW BACK PAIN in youngster is very common. If u advice a Surgery go for Sutureless Spine Surgery like ENDOSCOPIC Discectomy .This is a Latest Surgical pattern . Benefit of this procedure it's no need of any Hospital stay, no blood loss , no need General Anaesthesia proceed in Local Anaesthesia, Day Care Procedure.
Low Back Pain with Radiculopathy is major health issue now a day's. Open Laminectomy surgery is old conventional method at present Suture less spine surgery by ENDOSCOPIC DISCECTOMY is Latest Treatment .in this no need of Hospital stay no Blood loss no requirement of General Anaesthesia. Radio Frequency Ablation of Dorsal Root Ganglion with NUCLEOTOMY by Ozone THERAPY is another alternative TREATMENT.
SUTURE LESS SPINE SURGERY In a single day, Two cases of ENDOSCOPIC DISCECTOMY are done recently . There were two patients with same complaints that they used to have tingling and numbness in their lower leg respectively and this problem used to increase, including low back pain ; while walking . Just after the surgery/s , both the patients not only got sound relief from the pain but also could able to walk. Now , there is no restrictions in their routine activities. The major benefit of this Operation is that there is no need to give a General Anesthesia to the patients and no need to do any major dissection and giving any stitches on the wound.Infact, patients can talk while the surgery and can feel the happening .That's why it's called Suture Less Spine Surgery. Thanks to Dr.Lokesh Sharma (spine surgeon)for showing his expertise with us And Special Thanks to Dr.Ashish Mittal for kind support and motivation. The patients suffering from Low Back Pain or Spine pain or related issues can visit or contact us for consultancy and treatment. We, Dard the Ortho and Cancer Pain Management Centre, are leading and advanced fully equiped Jaipur based centre. Dr.Ravi Khatri The Pain Specialist M: +91-9414245172 Write at ravikhatri7200@gmail.com Visit at www.paincentrejpr.com
ENDOSCOPIC DISCECTOMY
ENDOSCOPIC DISCECTOMY is Sutureless Treatment of SLIPPED DISC in which no need of General Anaesthesia & Hospital stay .Vertibroplasty & Kyphoplasty is Latest Treatment of Vertebrae Fracture.
ENDOSCOPIC DISCECTOMY is Sutureless Spine Surgery for SLIPPED DISC, Annular Tear , Prolapse Disc. Main benefits of this Procedure is that no need of General Anaesthesia, no Blood loss and not required long admission for Hospital.
Low back pain is most common and neck pain is the 2nd most common pain in the spine pain.  1. LBP is a pain between Lowest Back to Buttocks.Sometimes , it is associated with radiation of pain in lower limb.  2. LBP is acute when it is less than 6weeks, Subacute when it is between 6-12weeks and chronic when it is more than 12weeks.  3. LBP arises from many parts from back like : Slipped Disc, facet joints,  SI joints, muscular pain,  interspinious ligament pain or lumber canal stenosis pain.  4. In the present scenario, LBP treatment is very much an art of the Doctor because the vital part of it is the Diagnosis from where the pain is generating.  Treatment of LBP : 1.Conservative:  Medicine, Physiotherapy, Exercise and physical therapy (most important of all)  2. Interventional: * Facet joint pain - Radiofrequency ablation or Cortison Therapy. * SI Joint - Radiofrequency ablation or Cortison Therapy. * Disc Pain - Epidural or Rami Communicating block. *Slipped Disc- Percutaneous Dissectomy, Percutaneous Neucleotomy by Ozone or Endoscopic Dissectomy. This is better and advance therapy in present, because no need of stay in hospital for long and also it is a bloodless procedure. *Muscular Pain - Physiotherapy and dry needling in Cortison and Lazer Therapy. Latest Facts about LBP: # Poor correlation between LBP and MRI findings.Most common is 50% MRI shows Slipped Disc but patient have no pain whereas 50%MRI don't show Slipped Disc but patient have Disc Pain.  # Spondylsis is not a cause of LBP but it is a radiological finding, it is not clinical. The most common cause of LBP in elders is Facet Arthropathy and SI Joint Pain whereas in young it is Internal Disc Disruption.  # Prolonged Bed Rest and Restriction from any work in LBP is not indicated nowadays.  # L/S belt and brace are no more recommended. # Surgery is not always indicated in Slipped Disc with LBP. Need of surgery is only indicated if slipped disc is present with defficit or tumor or infection. At present, minimaly, invasive Percutaneous Procedure like Lumber Transforminal, Lumber Interlaminal, Caudal Cartison Injection like promising and effective in Treatment of Low Back Pain.  3. Surgical
Suture less spine surgery by ENDOSCOPIC removal of DISC is best alternative for open Spine surgery .Dr Ravi khatri Pain Physician DARD The Ortho and Cancer Pain Management centre Jaipur Rajasthan.
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