Micro-endoscopic spine surgery is a minimally invasive surgical technique used to treat various spinal conditions. It combines endoscopic technology with microsurgical techniques to perform spine surgery through small incisions.

Advantages

• Minimally Invasive: Smaller incisions, less tissue damage.
• Reduced Pain: Less postoperative pain compared to traditional open surgery.
• Faster Recovery: Shorter hospital stay and quicker return to normal activities.
• Less Blood Loss: Reduced risk of complications due to minimal blood loss.
• Smaller Scars: Less noticeable scarring.

Common Conditions Treated

• Herniated Disc: Removing or repairing herniated disc material.
• Spinal Stenosis: Decompressing the spinal canal to relieve pressure on nerves.
• Degenerative Disc Disease: Treating disc degeneration and related symptoms.
• Spondylolisthesis: Stabilizing and realigning slipped vertebrae.
• Spinal Tumors: Removing or biopsying spinal tumors.
• Spinal Infections: Treating infections in the spinal region.

Procedure Overview

• Preparation: The patient is positioned, and anesthesia is administered (general or local with sedation).
• Incision: A small incision (usually less than an inch) is made at the surgical site.
• Insertion of Endoscope: An endoscope (a thin, flexible tube with a camera) is inserted through the incision to visualize the surgical area.
• Surgical Instruments: Specialized micro-instruments are used to perform the surgery, guided by the endoscope.
• Surgical Steps: The specific procedure depends on the condition being treated, such as removing a herniated disc, decompressing nerves, or stabilizing vertebrae.
• Closure: The incision is closed with sutures or staples, and a small bandage is applied.

Recovery

• Postoperative Care: Pain management, wound care, and instructions on activity restrictions.
• Physical Therapy: Often recommended to aid in recovery and strengthen the spine.
• Follow-Up: Regular follow-up appointments to monitor healing and progress.
• Activity Resumption: Gradual return to normal activities based on the surgeon’s advice.

Risks and Complications

While MESS is generally safe, potential risks and complications include:

• Infection: Risk of infection at the incision site or internally.
• Bleeding: Minor bleeding during or after the procedure.
• Nerve Damage: Risk of nerve injury, although minimized with endoscopic techniques.
• Incomplete Relief: Possibility of persistent or recurrent symptoms.
• Anesthesia Complications: Risks associated with anesthesia.

When to Consider MESS

• Failed Conservative Treatments: When non-surgical treatments (physical therapy, medications) have not provided relief.
• Severe Symptoms: Significant pain, weakness, or neurological symptoms affecting daily activities.
• Specific Diagnosis: Confirmed diagnosis of a condition that is suitable for MESS, such as a herniated disc or spinal stenosis.