Full endoscopic spine surgery uses a 6–8 mm access and a high-definition camera to decompress the pinched nerve causing sciatica or foraminal stenosis. Many patients walk the same day and return to desk work in 1–3 weeks.
Consult: +91-9778280044 • neurospinehyd@drsayuj.com • Book Appointment
⏱ 5 MIN READ · KEY TAKEAWAYS
- 6–8 mm incision, no muscle cutting — less pain, lower infection risk, same-day discharge in most cases
- 90–95% of appropriately selected patients achieve significant sciatica relief
- 1,000+ cases performed by Dr. Sayuj Krishnan at Yashoda Hospital, Malakpet, Hyderabad
- Many cases performed awake under spinal anaesthesia — no general anaesthesia required for high-risk patients
- Return to desk work in 1–3 weeks; full activity in 3 months with guided physiotherapy
Benefits of full endoscopic spine surgery
- 6–8 mm incision vs 2–5 cm for conventional approaches
- Less muscle damage — preserves spinal stability
- Same-day or next-day discharge in most cases
- Lower infection risk (closed irrigation system)
- Suitable for high-risk patients via the awake pathway under spinal block
- Faster return to daily activities and work
Who qualifies?
Candidates include patients with lumbar disc herniation, foraminal stenosis, lateral recess stenosis, or recurrent disc herniation who have not responded to 6–8 weeks of conservative treatment. Spinal instability or severe deformity may require open or fusion surgery. Browse the full list of conditions we treat to see if your diagnosis qualifies.
Risks to be aware of
- Dural tear (uncommon; usually managed intra-operatively without consequence)
- Re-herniation (low rate with proper post-operative rehab)
- Infection (rare in closed endoscopic system)
- Incomplete decompression if anatomy is complex or multilevel
Recovery timeline
- Day 0–1: Walking with support; discharged same day or next morning
- Week 1–2: Light activity, wound care, no heavy lifting
- Week 2–4: Desk work for most patients
- Month 1–3: Physiotherapy — core strengthening, posture correction
- Month 3+: Return to physical work and sports (graded, with clearance)
FAQs
Is general anaesthesia always needed?
No. Dr. Sayuj performs many cases under spinal or epidural anaesthesia — the awake endoscopic pathway — making surgery significantly safer for diabetic, cardiac, and elderly patients.
How is this different from PELD?
PELD (Percutaneous Endoscopic Lumbar Discectomy) is one type of full endoscopic surgery focused on disc herniation. Full endoscopic also covers stenosis decompression, foraminotomy, and cervical disc approaches.
What is the success rate?
In experienced hands, 90–95% of appropriately selected patients achieve significant leg pain relief. Dr. Sayuj has performed over 1,000 endoscopic procedures at Yashoda Hospital, Hyderabad.
Explore related guides
Awake Spine Surgery →
No general anaesthesia, no ICU, same-day discharge. See who qualifies for the awake endoscopic pathway in Hyderabad.
Full Endoscopic Technique →
The 7 mm endoscopic approach — how it works, what conditions it treats, and why it has replaced open surgery.
Book an Appointment →
Send your MRI and medical history. We review every enquiry within 48 hours and advise whether endoscopic surgery is right for you.
Hyderabad Clinic: Room No 317, OPD Block, Yashoda Hospital, Malakpet • +91-9778280044
daycarespinesurgery.com 
Leave a comment