Full endoscopic spine surgery is a tiny-incision, camera-assisted technique that removes the offending disc fragment or relieves nerve compression through a 6–8 mm working channel. Done in experienced hands, many patients walk the same day and go home within 24 hours.
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⏱ 5 MIN READ · KEY TAKEAWAYS
- Full endoscopic surgery uses a 6–8 mm incision — far smaller than conventional open surgery
- Most patients walk the same day and are discharged within 24 hours (day-care pathway)
- Can be done awake under spinal block, avoiding general anaesthesia risks entirely
- Treats slip disc, stenosis, cervical disc prolapse, and recurrent disc herniation
- Re-herniation rate is low (~2–5%) with post-operative physiotherapy
What conditions does it treat?
- Lumbar disc herniation (slip disc) with sciatica
- Foraminal and lateral recess stenosis
- Spinal canal stenosis causing claudication
- Cervical disc prolapse causing arm pain
- Recurrent disc herniation after prior surgery
How is it different from open surgery?
- Incision: 6–8 mm vs 3–5 cm
- Muscle damage: Minimal — working channel dilates rather than cuts
- Blood loss: Near-zero in most cases
- Hospital stay: Day care (same-day discharge) vs 3–5 days
- Anaesthesia: Can be done awake under spinal block — no general anaesthesia needed
- Return to work: 1–3 weeks vs 6–8 weeks
The procedure step by step
- Positioning and anaesthesia (spinal or general)
- Fluoroscopy-guided needle placement at the target level
- Sequential dilation; 6–8 mm working cannula introduced
- High-definition endoscope inserted — live view of disc and nerve
- Disc fragment removed or bony spur trimmed under direct vision
- Nerve decompression confirmed; cannula withdrawn
- Single stitch or skin glue; patient mobilised within hours
Cost of full endoscopic spine surgery in Hyderabad
Cost varies by hospital, number of levels, and implants required. After clinical and imaging review, a personalised estimate with insurance support is provided. Most major insurers cover endoscopic spine surgery. View all procedures for a full list of conditions treated.
FAQs
Is full endoscopic surgery safe?
Yes, in experienced hands. Complication rates are low and comparable to or better than open surgery when patients are properly selected.
Can elderly or diabetic patients have this surgery?
Yes. The awake pathway (spinal anaesthesia) avoids general anaesthesia risks, making it particularly suitable for high-risk patients.
Will the disc herniate again after surgery?
Re-herniation rate is low (around 2–5%). Post-operative physiotherapy and activity modification significantly reduce the risk.
Explore related guides
Awake Spine Surgery →
Day-care surgery under spinal block — walk the same day, home within 24 hours.
Endoscopic Spine Hub →
Deep-dive into endoscopic techniques — PELD, PECD, foraminotomy, and more.
Book a Consultation →
Get a personalised assessment and cost estimate from Dr. Sayuj Krishnan.
Hyderabad Clinic: Room No 317, OPD Block, Yashoda Hospital, Malakpet • +91-9778280044
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