To ensure that you are completely pain-free throughout the procedure, a local anesthetic will be administered to you. Following sedation, a cut through your back's muscle tissue close to the herniated disc will be made. A 14-inch metal tube is inserted to give the surgeon access to the disc, and a dilator is used to keep the incision open. The surgeon can see the herniated disc clearly and decide what needs to be removed after inserting an HD camera/endoscope. Microscopic tools are inserted through the endoscope to remove the herniated disc. The annular layer of the disc is cleaned of any tears, and any growing nerves are treated with a laser to destroy them. The laser shrinks and mends the tears while maintaining the integrity of the disc. The metal tube is removed, and the incision is closed once the procedure is complete.
The following are the differences between FED and open discectomy:
The difference between a Full Endoscopic Discectomy (FED) and a Micro endoscopic Discectomy is that:
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The procedure is done through a very small skin incision, using an endoscope (a thin tube with a camera) and special surgical instruments to remove the herniated portion of the disc that is pressing on the nerve.
Endoscopic discectomy is usually performed under local anesthesia with sedation or sometimes general anesthesia, depending on the patient’s condition and the surgeon’s recommendation.
The incision is typically less than 1 cm, making it one of the least invasive spine surgeries.
The procedure usually takes about 45–90 minutes, depending on the complexity and the location of the herniated disc.
Once the pressure on the nerve is relieved, the instruments are withdrawn, and the small incision is closed with minimal sutures or adhesive strips.
In most cases at DRHC, endoscopic discectomy is a daycare procedure, meaning patients can go home the same day after a few hours of monitoring.
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