Full Endoscopic Spine Surgery in Hyderabad: What Patients Need to Know

Full endoscopic spine surgery is a minimally invasive “keyhole” technique that treats lumbar disc herniation, sciatica, and spinal stenosis through a 6–8 mm working channel. It is now the gold standard for daycare spine surgery in experienced centres worldwide, including Hyderabad.

Medically reviewed by Dr. Sayuj Krishnan, Full Endoscopic Spine Surgeon, Yashoda Hospital, Hyderabad.
Last reviewed: September 2025.

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What is full endoscopic spine surgery?

Full endoscopic spine surgery (also called percutaneous endoscopic spine surgery) uses a high-definition endoscope passed through a small working cannula to visualise and decompress the compressed nerve. Unlike traditional open or microscopic surgery, the entire procedure is performed through a single 6–8 mm portal, with continuous irrigation and real-time imaging.

Key techniques

• PELD (Percutaneous Endoscopic Lumbar Discectomy): For lumbar disc herniation and sciatica via a transforaminal or interlaminar approach
• Endoscopic laminotomy/foraminotomy: For spinal canal or foraminal stenosis — learn more about endoscopic techniques
• PECD (Percutaneous Endoscopic Cervical Discectomy): For cervical disc prolapse causing arm pain
• Endoscopic decompression for recurrent disc: Suitable for selected re-do cases

Outcomes and evidence

• 90–95% of patients achieve significant nerve pain (sciatica) relief
• Same-day discharge in the majority of cases
• Low complication rates comparable to microscopic surgery
• Faster return to work: typically 1–3 weeks for desk work
• Over 1,000 cases performed by Dr. Sayuj Krishnan at Yashoda Hospital, Hyderabad

The awake advantage

Many full endoscopic procedures can be performed under spinal or epidural anaesthesia — the awake spine surgery pathway. This eliminates general anaesthesia risks and is particularly beneficial for patients with diabetes, cardiac disease, obesity, or advanced age.

FAQs

Is full endoscopic spine surgery covered by insurance?

Yes, most major health insurers in India cover full endoscopic spine surgery. The team at Yashoda Hospital assists with pre-authorisation and claim documentation. See all covered procedures.

How do I know if I am a candidate?

Send your MRI to 9778280044 (WhatsApp) for a 48-hour preliminary assessment. Or book an appointment for a detailed evaluation before any surgical decision.

What is the difference between full endoscopic and microscopic surgery?

Microscopic surgery uses a small camera but still requires a larger skin incision and significant muscle retraction. Full endoscopic uses a single 6–8 mm working channel with no muscle cutting, resulting in less pain and faster recovery.

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