Endoscopic discectomy
Endoscopic discectomy is a minimally invasive surgical procedure aimed at removing pathological disc protrusion that puts pressure on the nerve, with minimal impact on the surrounding tissue.
This procedure effectively relieves nerve root compression, eliminates pain, restores mobility, and prevents neurological complications. This technique is used for hernias in the lumbar, thoracic, and cervical spinal regions, and it is recommended when nonsurgical treatment has been unsuccessful. The procedure can be performed regardless of complexity, depending on the size and location of the hernia and the patient's condition.
Before the operation, the patient must undergo a standard set of tests. These include a complete blood count and biochemical analysis, infection tests, an ECG, a spinal MRI, and necessary specialist consultations. Ten hours before the procedure, the patient should refrain from eating or drinking anything, including water. In some cases, hospitalization the day before is recommended. Preparation also includes informing the patient about the postoperative period.
The patient is positioned on the operating table. After administering general anesthesia, the surgeon makes a 7 mm incision in the skin and inserts an endoscope through it. The surgeon then guides the endoscope to the affected intervertebral disc using X-ray guidance. Then, a microinstrument is inserted through the endoscope channel to the hernia. This instrument is used to remove the protrusion in stages under visual control. A high-definition camera transmits an image to a monitor, enabling the surgeon to perform precise manipulations in a confined space. Only the pathological area of the disc is removed, not the entire disc. Once the procedure is finished, the incision is closed with an intradermal cosmetic suture that does not require removal, and a bandage is applied.
Endoscopic surgery involves using a high-precision, advanced system that includes a thin endoscope with a 4K camera, microinstruments, and an X-ray machine for navigation.
Patients can walk within two hours after surgery and may be discharged on the day of or the day after surgery. For the first few weeks, it is recommended that the patient wear a corset or orthopedic collar (depending on the area of intervention), limit physical activity, and take a course of medication. Later on, the patient is advised to undergo exercise and physical therapy to strengthen their muscles and restore segmental stability. They should avoid heavy lifting and carrying heavy objects for a month. A follow-up appointment is scheduled 30 days later.
Benefits
Minimal trauma
The surrounding tissues are virtually unaffected.
Quick recovery
The patient may return home on the day of or the day after the operation
Precision
A magnifying camera displays small anatomical structures
Comfort
No large incisions are required and no spinal fixation is performed
Frequently Asked Questions
Can surgery be avoided?
Will there be a scar?
How long does the operation take?
Can a hernia return?
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Врачи
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Orthopedic Trauma Surgeon, Vertebrologist
General surgeon, Professor, Doctor of Medical Sciences. Head of the Spine Surgery Department.
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How to reach
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign
From the metro station "Tsvetnoy Bulvar"
1 exit to the city, then left to the Garden Ring, at the crossing to the right, crossing the boulevard, one more crossing and at the traffic light to the left. The Olymp Clinic building is located overlooking the Garden Ring to the right of the crossing. Travel time is approximately 9 minutes. Landmark - sign Olymp Clini
From the metro station "Sukharevskaya"
Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic
Parking lot map
Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic
From Sokol metro station
The last car from the center: follow the signs for Exit 5. From the glass doors to the right and go to the end of the passage. Exit to the city by the steps to the left. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn right (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.
Travel time
10-12 minutes
From the Airport metro station
The first car from the center: follow the Exit 2-3 signs. Turn left out of the glass doors and walk to the end of the passage. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn left (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.
Travel time
12-15 minutes
How to get
Entry to the territory is prohibited, but there are free city parking lots around the Triumph Palace residential complex, where you can easily find a place for your car. Free parking area:
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign