The world is innovating fast, and even technological advancement is being implemented into the medical world. These advancements have opened up many new options to deliver medical treatments to patients. Traditionally extensive incisions open surgeries or spine surgeries are done. The advancement is now reduced to microscopic or minimally invasive spine surgery, keyhole surgery, and endoscopic surgery.
These functionalities of the surgery are carefully chosen for the selected patient. This will ensure excellent outcomes for every surgery and fewer hospital stay requirement. Most importantly, it reduces the resting span, and the patient can return to work quickly. The majority of the keyhole spine surgeries are done without general anesthesia.
This simply means that patients can be awake during the surgery and provide active feedback directly for the operating surgeon. The surgeries are done using local anesthesia, making a part of the spine numb before being operated on.
Introduction to Key-Hole Spine Surgery:
Key-Hole Spine Surgery is operated through a small tube, a specifically designed instrument. It has equipped high-resolution cameras and monitors. The entire procedure is minimally invasive and has less pain in the operative location. Most importantly, the process will reduce blood loss and eliminate the risk and complications.
There will be no complications such as paralysis, nerve injury, or danger to life. Keyhole spine surgery is mainly focused on directly removing prolapsed disc fragments. It does not require any removal, trauma, handling surrounding normal tissues. Most importantly, patients can start walking on the same day of the surgery.
The key-hole surgery is a recommended day-care procedure that reduces the hospitalization requirement. The patient can start their work early, which confirms the much less loss of productivity and work hours. Most notably, in cases of infection, this procedure can relieve pressure from the test and the nerve. It can also collect samples from the diseased area and better diagnose specific treatment. This ensures the confirmation of spinal infection at the earlier stage.
Main Reasons for Using Key-Hole Surgery for Spinal Operations:
These are the reasons for using keyhole surgery primarily dedicated towards final operations.
- Shorter recovery time. This enables the patient to return to normal. This allows the patient to return to normal activities within a week after the surgery.
- No requirement for prolonged hospitalization for performing this procedure.
- Small scars compared to any other open surgery.
- The pain slowly gets decreases after the completion of the procedure.
Although there are several potential risk factors involved with keyhole spine surgery. Compared to any conventional open surgery, these key factors could be essential to understand. Initially, the risk factor is compiled down to two factors. Firstly, the neurosurgeon will be using the device to work from a distance. No direct working hands will be involved with the procedure, eliminating the requirement for feeling the body tissue.
Finally, the complete visualization of the organs is done through the camcorder, which cannot offer the same field depth. This eliminates the direct display while performing the surgery. Usage of a microscope instead of the endoscope will eliminate this issue. However, every neurosurgeon is performing routine keyhole operations.
So, they are specially trained to understand the differences. At the same time, the correct neurosurgeon will eliminate the risk of accidental injury. The selection of conventional surgery or keyhole spine surgery depends entirely on the location of the disease and the type of size.
Procedure for Key-Hole Spine Surgery:
The initial procedure for keyhole spine surgery is constant and done by experienced neurosurgeons.
- Keyhole spine surgery is done using general anesthesia. It initially means that patients undergoing this surgery are put to sleep. And they will wake up after the process is completed. However, local anesthesia is being used in some cases while the patient stays awake by numbing the area of operation.
- Once the patient falls asleep, or the area is numb, the patient is appropriately positioned. The surgeon will insert a small metal tube which is called a cannula. The insertion is into the spine surgery site after some serial dilation on the soft tissue. The tube is equipped with a telescope and a miniature camcorder combination. It helps in projecting HD-quality video images into a monitor. In some cases, special micro lumbar retractors are also used, enabling microscope usage and magnification.
- Once the surgery is completed, the surgeon will stitch up the incision. After that, the patient will be taken back to the recovery room to wake the patient from anesthesia. In the case of local anesthesia, the effect will wear off after a few hours.
- It is essential to understand that keyhole spinal surgery is highly complicated and unsuitable for every patient. It is only done while the problem is right in the back of the patient and the neurosurgeon is recommending it. This operation has a slightly higher risk of accidents than any other open surgery.
Pros of Key-Hole Spine Surgery:
These are the advantages of keyhole spine surgery. It is essential to understand before it is being performed for your issue.
- Keyhole spinal surgery offers multiple advantages over conventional surgery performed with a large incision. The patient will have minor discomfort and need less pain relief medication. This enables the patient to return to normal activities within a week.
- Keyhole spinal surgery will have less risk of wound infection due to minor incisions.
- The patient can get out of bed and have less risk of deformities or pneumonia compared with any other conventional surgery. Once the wound is healed, this car is almost untraceable. This eliminates the risk of scar marks in the body.
- Some spinal interventions are also being performed on an outpatient basis, which means one day, which means one day stay for the keyhole spine surgery.
- Keyhole spine surgery is minimally invasive surgery. The incision is tiny compared with any other conventional surgery. The cut is done shorter or equal to an inch. However, the procedure might require three to four incisions in the area. The number of necessary amounts depends entirely on the level of surgery the patient needs to be treated with.
- The patient will experience minor bleeding, less pain, and less risk of infection after the completion of surgery. This eliminates the risk, and the patient can go home early with fewer scars.