Endoscopic disc surgery

and decompression with laser technology

The endoscopic surgical technique to eliminate intervertebral disc problems has also proven itself for many other back problems. Using this technique, all types of herniated discs can be removed gently and minimally invasively. This technique is also suitable for chronic back problems caused by bulging discs and tears.

In addition, an increasing number of spinal canal stenoses / vertebral canal stenoses can now be relieved using endoscopic technology as soon as they cause problems on one side.

In this surgical method, a state-of-the-art and forward-looking LISA laser is used. The LISA laser works with the so-called "side-fire technique" and makes it possible for the tissue to be removed at an angle of 90°. This eliminates the risk of nerve injury in contrast to the old "straight ahead" technique.

For detailed information on the respective topic, please click on one of the following links:

    • disc prolapse
    • Herniated disc in the cervical spine
    • spinal canal stenosis

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How does the treatment work?

endoskopische-bandscheibenoperation-spinalstenoseUnder local anesthesia, the foramen stenosis (narrowing of the nerve exit hole) is expanded percutaneously under X-ray control, first with special drills and milling cutters with increasing diameters. Now an optical endoscope, which is equipped with various miniature working channels, is carefully advanced to the narrowing, which has already been roughly widened, to the exiting nerve.

Protruding remnants (capsule, ligament flavum and bone) are now removed under visual control, first mechanically with a specially developed instrument (shaver or shrill) and then also with a state-of-the-art and future-oriented LISA laser, thus widening the narrowing until the nerve frees itself again located in the nerve exit hole. The LISA laser works with the so-called "side-fire technique" and makes it possible for the tissue to be removed at an angle of 90°.

!!! The success is largely dependent on the experience of the operator !!!

This eliminates the risk of nerve injury in contrast to the old "straight ahead" technique.

What aftercare is required?

A medical check-up takes place on the day after the endoscopic disk operation. In addition, a physiotherapist discusses the rehabilitation program that is individually tailored to the patient. In the first two weeks after the procedure, you will wear a specially adapted plastic corset that relieves your back and allows you to resume your usual activities soon.

endoskopische-bandscheibenoperation-nach-dekompression It is advisable to begin physiotherapy tailored to your individual needs, under the supervision of a physiotherapist, about a week after the endoscopic disc surgery. After about 6 weeks you should start with muscle-strengthening exercises for the torso and back muscles. At the same time, a return to the usual physical activities (fitness and sport) is possible again.

You can also read detailed information on aftercare in our “Postoperative Program” instructions for download.

When can you do sports again?

You should be able to swim or cycle regularly again about three weeks after the procedure. You can resume your usual athletic training about six weeks after the procedure.

When are you able to work again?

After one to two weeks, you can resume office work and light physical work. You should avoid heavy physical activity for the first six weeks and then slowly increase it.

The advantages at a glance:

  • The procedure is performed under local anesthesia; no general anesthetic is necessary!
  • Because hardly any tissue is destroyed, the procedure is less stressful and the risk of complications is low.
  • No instability, since the structures that stabilize the spine (vertebral ligaments, vertebral joints) are left completely intact; in contrast to the microscopic technique
  • Reduced wound healing pain and increased stability because the back muscles do not have to be severed.
  • Lower risk of infection as access is through a small skin incision (5mm).
  • Reduced scarring in the nerve root area!
  • You can walk pain-free again just two hours after the disc operation.
  • No longer hospital stay is necessary: you can go home one day after the disc operation.
  • You can go back to your usual activities just a few days after the disc operation.
  • A short convalescence: After one to two weeks you are able to work again, after about six weeks you can go back to your usual sports.
  • The operation hardly leaves any scars.