Dr Rodney Aziz tells about the how to operate a endoscopy surgery and what is endoscopy and how to use of surgery of endoscopy.

1. The advantage of lateral access to the spine with endoscopic spine
surgery is that only a ¼ inch incision is made and the large muscles of the
middle of your back are spared resulting in less recovery time.
Endoscopic spine surgery is one of the least invasive procedures used to
treat herniated, protruded, extruded, bulging discs and disc tears that
compress or irritate the spinal nerves causing back or leg pain. Patients
suffering from painful spinal conditions should consider all less invasive
options like pain management and endoscopic procedures before ever
considering traditional, open, or minimally invasive spine techniques
including laminectomy, microdiscectomy, or spinal fusion. Proper diagnosis
and diagnostic injections are essential for the endoscopic physician to
pinpoint the cause of the pain and selectively address the painful condition
without causing the patient significant post-operative pain or delay in
recovery.
How to Operate a Endoscopy Surgery

3. Endoscopic discectomy is performed as an outpatient surgical procedure.
Under local anesthesia and x-ray fluoroscopy, a needle, guidewire, and
blunt dilator are placed through the ¼ inch skin incision through the muscle
of the back, between the vertebrae and into the herniated disc. A 7 mm
metal tube is placed over the dilator to create access to the disc. An
innovative working channel endoscope is coupled with an HD video camera
to enhance visualization for the physician. Through the endoscope, small
custom designed microscopic instruments are then sent down the hollow
center of the endoscope to remove a portion of the offending disc.
The average procedure takes about an hour, and x-ray exposure is
minimal. The patient will typically feel little, if any, pain or discomfort. There
are no stitches. Upon completion, the probe is removed and a small Band-
Aid is placed over the incision. The amount of nucleus disc tissue removed
varies, but the supporting structure of the disc is not affected by the surgery.
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5. 7mm Skin Incision reduces post-surgical pain and recovery
The Endoscopic Advantages vs. Traditional Open Spinal Surgery:
Endoscopic Discectomy is different from open lumbar disc surgery
because there is no traumatic back muscle dissection, no bone removal,
or large skin incision. The risk of complications from scarring, blood loss,
infection, and anesthesia that may occur with conventional surgery are
drastically reduced or eliminated with this procedure. Endoscopic
discectomy was invented to be an effective treatment for herniated discs
while avoiding these risks.
Endoscopic spine surgery has been found to be as effective as or more
effective than traditional open spinal surgery. In many clinical studies,
endoscopic spine surgery techniques were superior to traditional open
spine surgery when comparing recovery times and pain medication
needed post surgery. Typically, recovery takes a few days or weeks
versus traditional surgery with recovery times of months or even years.

7. HD camera and endoscope affords the physician a superior view to
that of traditional techniques
¼ inch – the smallest incision in spine surgery
Little to no scar tissue, because there is no tissue or muscle tearing
Conscious sedation reduces the risk associated with general
anesthesia
Less post-operative pain and need for narcotic medicine
Less recovery time needed
Return to work and life sooner
What Types of Conditions do Endoscopic Surgery Treat?
Arthritis and Bone Spurs of the Spine
Bulging Disc
Discogenic Back Pain
Herniated Disc
Failed Back Surgery
Foraminal Stenosis (Narrowing of the Spinal Canal)
Sciatica
Radiculitis or Radiculopathy
Spondylolisthesis (slipping of the Vertebra)

9. Types of Endoscopic Procedures
Transforaminal Endoscopic Discectomy – treats bulging,
protruded, and extruded herniated discs. The physician uses an HD
camera and endoscope to visualize and decompress the herniated
disc to relieve the pressure on the affected spinal nerve.
Endoscopic Foraminalplasty – treats facet disease, foraminal and
lateral recess stenosis. Over time, the space between the facets and
the disc can diminish and the foramen (natural opening for the spinal
and exiting nerves) becomes narrow and begins to compress the
nerves. The endoscopic technique uses ronguers, reamers and
small-motorized burrs to selectively take some bone in order to
enlarge the foramen, thus decompressing the nerves.

11. Endoscopic Nucleoplasty – treats patients suffering from severe back
pain associated with micro tears in the disc’s outer annular wall. When
these tears happen, the epidural space can be irritated and small nerves
begin to innervate the annulus and cause back pain. The endoscopic
technique goes inside the disc with a 7mm cannula and uses an HD
camera to look for tears and leaks in the disc’s annulus. With a
radiofrequency or laser probe the physician can ablate the nerve endings
and seal the tear, thus providing significant pain relief for the patient.
Endoscopic Rhizotomy – treats patients suffering from chronic back pain
and spasms. When patients lean forward they are symptom-free, but
leaning backwards causes significant pain and spasms. Patients who have
received some temporary relief from percutaneous radiofrequency
ablation, but the pain but had recurrent pain are good candidates for
endoscopic rhizotomy. This procedure allows the physician to place a small
cannula and an HD camera coupled to an endoscope inside the patients
back to visually target the medial branch nerve. A radiofrequency probe is
used through the endoscope to ablate the medial branch nerve. The
results of endoscopic rhizotomy have been significantly better long-term
than traditional percutaneous rhizotomy.