The document details the endospine technique for treating various lumbar disc conditions, utilizing a mobile operating tube that enhances visualization and minimizes surgical trauma. Since 2009, it has been applied to 46 patients, providing advantages such as reduced postoperative pain and rapid recovery. The procedure involves specific patient positioning and surgical steps to ensure effective decompression and minimal incision.

1. Presents
Contact on mail@localkonnect.com

2.  ENDOSPINE – The Mobile Operating Tube
 Treatment of
 Lumbar intervertebral disc prolapse
 Central Disc Herniation
 Foraminal/Extraforaminal Disc Herniation
 Lumbar Canal Stenosis
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3.  This technique is followed since 2009
 Total No. of Patients = 46
◦ Male (29), Female (17)
 Single Level Disc
◦ Total = 43
 Two Level Disc
◦ Total = 03
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4.  Mobile System – Illuminate & Explore hidden
recesses
 Perfect Quality of Vision
 Magnification of anatomical structures
◦ Eye is practically inside the spine
 Special Design
◦ To see the ends of the surgical instruments
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5.  Aesthetic outcome – small incision
 Minimal muscular and bony trauma
 Minimal Post-operative Pain
 Rapid resumption of physical activities
 Reduced rate of infections
 Special advantages for obese patients
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6.  Endospine consist of
◦ The operating tube
◦ Nerve root retractor
◦ Integrated channel for the
telescope
◦ Other two additional
channels
 Suction Tube
 Operating Instrument
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8.  Patient Positioning
◦ Under general or spinal anaesthesia
◦ Knee-chest position
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9.  Marking the entry point
◦ Use of Special localization device with two arms
◦ A reference line throughout the operation
◦ Point of incision marked on the skin
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11.  The approach is from the side where the
symptoms predominate
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12.  Skin incision – 5 mm from the mid line
about 2.5 cm in length
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13.  Hemostasis by biploar coagulation
 Aponeurosis dissected with scissors
 Cotton swabs attached to thread slid upwards
and downwards
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14.  Introducing the operating tube with blunt obturator
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15.  ENDOSPINE operating tube sitting on the lamina
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16.  Interlaminar window can be directly assessed
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22.  Excellent exposure of isthmus possible
 Nerve root retractor serve for retracting the
muscle
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23.  Same approach applied
◦ Performed on the right/left side where symptoms predominate
 Ligamentum flavum resection after cutting undersurface
of lamina
 Decompression assessed on both sides
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24.  Patient Mobilised
 Muscle Relaxant
 Physiotherapy
 Impermeable Dressing
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26.  Same as conventional surgery
 Dural Leak
◦ Surgicel Packing
◦ Muscle Patch
 Spondylodiscitis
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27. Delhi:
B-68, C.C. Colony, Near Rana Pratap Bagh, Delhi-07
Contact No.: 011- 27110162, 8595382660
Mumbai:
F-4, ShantiNiketan, C.H.S. Kondivita, Andheri (E),
Mumbai-52
Mobile No.: 9769749699
Patna:
Chandralaya, A.G. Colony, Sheikhpura, Patna-14
Mobile No.: 9835646927
Gurgaon (Contact Point):
558, Sector-5, Gurgaon-122001
Mobile No.: 9268247193
Website: www.localkonnect.com
email: mail@localkonnect.com

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