Bombay Spine Clinic

Endoscopic Spine Surgery (ESS)

Endoscopic Spine Surgery

Endoscopic Spine Surgery (ESS)

Endoscopic Spine Surgery (ESS) represents the pinnacle of ultra-minimally invasive spine surgery. Using a pencil-thin camera (endoscope) and micro-instruments through a tiny 7-8mm keyhole incision, Dr. Siddharth Katkade can visualize and remove disc fragments pressing on nerves with zero damage to back muscles.

Trained extensively at Queens Medical Center (Nottingham, UK) in full-endoscopic spine surgery, Dr. Katkade performs both Interlaminar and Transforaminal endoscopic discectomies, allowing same-day discharge and immediate pain relief.


Conditions Treated by ESS:

Lumbar Disc Herniation

Acute or chronic slip disc with severe shooting sciatica pain down the leg.

Foraminal & Lateral Stenosis

Targeted endoscopic foraminotomy freeing trapped exiting spinal nerves.

Recurrent Disc Herniation

Ideal for repeat surgeries because it avoids previous scar tissue.

Synovial & Facet Cysts

Direct endoscopic visualization and resection of nerve-compressing cysts.

The ESS Procedure Overview:

  1. Anesthesia: Performed under local anesthesia with conscious sedation or gentle general anesthesia.
  2. Keyhole Access: A tiny 7mm skin puncture is made without cutting spinal muscles.
  3. HD Endoscopic Visualization: The ultra-high-definition camera transmits real-time magnified video of the nerve root and disc.
  4. Targeted Decompression: Precision micro-graspers remove only the offending disc fragment, preserving normal disc structure.
  5. Stitchless Closure: The scope is removed, and the tiny puncture is closed with a simple waterproof Band-Aid strip.

Rapid Recovery:

Patients are usually walking independently 2 hours after the procedure and can go home on the same day (Day Care). Most patients return to light desk duties within 3 to 7 days.

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