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Minimally Invasive Knee Correction Tips

Minimally Invasive Spine Surgery

Dr. Pramod Saini 88% (12 ratings)
MBBS, MS - Orthopaedics, FNB Spine surgery, Fellowship In Spine Surgery (AO Spine)
Orthopedist, Noida
Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery Traditional spinal surgeries usually require large incisions and stripping away the muscles of the spinal column just to get to a herniated disc. Now, new technology allows these complex procedures to be performed with the help of a microscope to magnify and illuminate the damaged area. Instead of stripping away the muscle, your surgeon can use a microscope to view the area through a much smaller incision and create a tunnel to the disc. This is done by splitting the muscle to pass the instrument through. Minimally invasive procedures result in less visible scars and shorter recovery times. A discectomy, or removal of the disc, can often be performed this way. However Not all patients are candidates for MIS. Whether the patient an undergo minimally invasive surgery or not is decided on the basis of clinical examination and MRI findings.

5 people found this helpful

Everything You Need To Know About Minimally Invasive Spine Surgery!

Dr. Sanjib Kumar Behera 85% (10 ratings)
MS - Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics & Orthopedic Surgery
Orthopedist, Hyderabad
Everything You Need To Know About Minimally Invasive Spine Surgery!

When other treatments fail to provide relief, the last resort to treat spine problems is the spine surgery. Spine surgery is conventionally referred to as open surgery which indicates that the area that needs to be operated is opened with a long incision so that the surgeon is able to view and have access to the anatomy.

In the recent times, advances in the field of medical science have made it possible to treat back and neck conditions through minimally invasive surgical techniques that don’t involve an elaborate incision. Let us understand more about it.

How is minimally invasive spine surgery carried out?
Minimally invasive spine surgery fusions and decompression processes are performed by exploiting different approaches. The most commonly utilized technique involves the use of the tubular retractor. In this process, the surgeon makes a small incision and then inserts the retractor through the skin right into the spinal column. It leads to a tunnel to the accurate area where the problem persists in the spine. The functionality of tubular retractor lies in the fact that it helps in holding the muscle open throughout the procedure.

A number of particular processes have been designated for the minimally invasive spine surgery. Some of the most common options include spinal decompression, discectomy, and transforaminal lumbar interbody fusion. Each of these processes is different and only an expert in this arena can determine what’s suitable for you.

Minimally invasive spine surgery is also called less invasive spine surgery where surgeons make use of special instruments. One of the most compelling drawbacks of open surgery is that the pulling of the muscle can lead to damage to both the muscle and the tissues in close vicinity. On the other hand, minimally invasive spine surgery allows the surgeon to see the precise location of the affected area. Besides, it also leads to smaller incisions, reduced bleeding and short stay in the healthcare facility.

Consulting an expert about the surgery:
It is very important on part of the patients to discuss the suitability of minimally invasive spine surgery with their doctors since it is not a good option for all patients. It is generally suggested for patients having spinal tumours, spinal instability, spinal infections, vertebral compression fractures, lumbar spinal stenosis and spinal deformities like scoliosis.

When you know that you will have to undergo the surgery, it pays to gather information about the surgery and what you may expect from the recovery process. The most commendable benefits of minimally invasive spine surgery include better cosmetic results owing to lesser skin incisions and reduced dependence on the medications. Moreover, it is performed as an outpatient procedure and it makes use of local anaesthesia only. Thus, there is also a reduced chance of suffering from an adverse reaction to general anaesthesia.

So, depending on the pros and cons and depending on the individual condition, your doctor will decide on the course of action. In case you have a concern or query you can always consult an expert & get answers to your questions!

4381 people found this helpful

Is Minimally Invasive Spine Surgery Right For You?

Dr. Prathmesh Jain 85% (68 ratings)
M.S. Orthopedics, MBBS
Orthopedist, Ahmedabad
Is Minimally Invasive Spine Surgery Right For You?

The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.

Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-

  1. Smaller incision compared to traditional surgical procedures, where only the injured area is accessed

  2. The surrounding tissues are untouched, unless they are injured and require repair

  3. Lesser bleeding compared to earlier techniques

  4. Lesser painful procedure

  5. Reduced hospitalization period

  6. Quicker recovery and return to normal activities

The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.

  1. Presence of symptoms relating to nerve compression, including pain from the spine down the leg.

  2. Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.

  3. People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.

  4. Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.

  5. Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.

Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever. If you wish to discuss about any specific problem, you can consult an orthopedist.

2777 people found this helpful

Minimal Invasive Spine Surgery

M.Ch, MBBS
Neurosurgeon, Jaipur
Minimal Invasive Spine Surgery

Minimal invasive spine surgery possesses numerous benefits over the traditional spine surgery that includes :
- small surgery scar
- less blood loss during the surgery
- quick recovery

- quicker return to work and normal activities 
- less postoperative pain
- shorter hospital stay

These are the xray of a patient with l4l5 grade 1 listhesis operated by minimal invasive tlif.

4 people found this helpful

Minimal Invasive Procedure For Haemorrhoids!

Dr. Gaurav Bansal 91% (2207 ratings)
MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Minimal Invasive Procedure For Haemorrhoids!

In 1995, Longo described a new and innovative operative technique for hemorrhoid. This novel procedure to treat piles is not a hemorrhoidectomy. In this technique neither the anal mucosa and nor the hemorrhoidal tissue is excised. The procedure of MIPH is performed in the patient with piles on distal rectal mucosa and submucosa, proximally to the dentate line. MIPH hemorrhoidectomy includes excision of a band of excessive or loose prolapse mucosa and submucosa within the rectum, proximally to the hemorrhoidal tissue and fixation of the mucosa by stapled end to end mucosa anastomosis. This minimally invasive maneuver occlude the blood supply of the superior hemorrhoidal artery above the hemorrhoidal tissue and thus piles is cured as well as prolapsed mucosa is retracted up.

Description:

Stapled Hemorrhoidopexy

What are the indications PPH or MIPH?

Indications for PPH include patients with grade III hemorrhoids, with uncomplicated grade IV hemorrhoids that are reducible at surgery or after manipulation in the operating room. In the surgery of MIPH hemorrhoidal tissue is not excised during the procedure, and in those who failed other treatment modalities.

How it work and what are the benefits of Stapled Hemorrhoidopexy?

Stapled Hemorrhoidopexy procedure uses a special device to remove a ring of tissue from the anal canal. Removing the tissue cuts off blood supply to the hemorrhoids, causing them to shrink. The tissue ring is then secured with staples. This helps hold the tissue in place. Stapled hemorrhoidopexy is a significantly less painful operation and offers significant advantages in terms of hospital stay and symptom control in the long term, making for a significantly earlier return to work.

What are the Contraindications of Minimally Invasive Procedure for Hemorrhoid?

Complication of this surgery include:

  1. Active sepsis,
  2. Anal stenosis, and
  3. Full-thickness rectal prolapse

Because these conditions are not adequately treated by PPH.

What are the complications of Stapled Hemorrhoidectomy?

Although PPH is usually considered relatively safe and simple, complications still may occur and sometimes may be devastating.

Most common complication are:

  1. Hemorrhage
  2. Incontinence
  3. Anal stenosis
  4. Fistula, and
  5. Septic complications

Possible complications of Minimally Invasive Procedure for Haemorrhoid (MIPH) include anal stenosis, postoperative pain, urinary retention, secondary hemorrhage, anal fissure, abscess or fistula, formation of skin tags, pseudo polyps, and incontinence. Postoperative pain is a main concern after Minimally Invasive Procedure for Haemorrhoid (MIPH); none of the techniques offers the patient a completely pain-free recovery. Urinary retention can be a result of pain in some of the patient, narcotics and anticholinergic drugs, fluid overload, high ligation of the hemorrhoidal pedicle and operative trauma.

Minimally Invasive Procedure for Haemorrhoid (MIPH), serious complications have been reported and include, rectal perforation, retroperitoneal sepsis, retropneumoperitoneum, rectal stricture, rectal obstruction, and rectovaginal fistula. These benefits may appear only after surgeons have gained sufficient experience with the procedure. However, skin tags and recurrent prolapse occurred at higher rates after PPH. The meta analysis did not find significant difference in the rates of postoperative bleeding, urinary retention, anal fissure, stenosis, or difficulties in evacuation.

1 person found this helpful

All You Need to Know Minimally Invasive Spine Surgery!

Dr. Gaurav Khera 91% (30 ratings)
MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, Mch
Orthopedist, Delhi
All You Need to Know Minimally Invasive Spine Surgery!

The spinal cord is such a crucial part of the body, and an injury to it can really change people’s lives for the worse. After all, controlling our movements, our sense of feeling and directing the limbs, among other things, makes it so very important. It does happen sometimes that injury to it requires surgery. Isn’t the prospect of the surgery going wrong quite a scary one?

For decades, whenever surgery to the spine was required, the surgeon needed to cut open the skin covering the spine as well as some extra skin, perhaps to see what needed to be done and then go ahead and carry out what was actually required. What this basically meant is that surgery resulted in more damage to the muscles and skin. This led to people taking longer to recover.

Most of the injuries that surgeons who specialise in surgeries of the spine comes across are decompressions and fusion of the spine. While the old style open surgery was popular, it is good to know minimally invasive spine surgery (MISS) is a possibility since it is spreading across the medical world and makes so much sense.

So, what can a person look forward to while having an MISS, as compared to the conventional kind? When it comes to MISS, the incisions which have to be made in most of the cases are very small. Generally, they should not be longer than a few inches. The reason why they need to be made is so that the equipment can be inserted into the body and so can a camera so that the surgeon can see what he or she is doing with sufficient amount of accuracy. Moreover, since the incision is small, the blood loss is less and the scar on the patient’s body is also small.


Well, the best part is that it will take far less time for the patient to get up and running again. The return to activities, which were part and parcel of one’s daily routine, will take a lot less time. This also means that the medical costs which one would need to bear would be lower as a person would be able to move back home from the hospital a lot sooner than would normally be the case.

Considering this, there is not much to “MISS” about the era of open surgery! If you wish to discuss about any specific problem, you can consult an Orthopedist.

4609 people found this helpful

Minimally Invasive Spine Surgery - A Guide On What To Expect?

MBBS, MS - Orthopaedics, Fellowship in Shoulder Surgery
Orthopedist, Gurgaon
Minimally Invasive Spine Surgery - A Guide On What To Expect?

Spine surgery is conventionally performed as ‘open surgery’, which means the region being worked on is opened with a long entry point to permit the surgeon to view and access the area. Technical and scientific advances have permitted more back and neck conditions to be treated with a less obtrusive surgical technique. The minimal invasive spine surgery (MISS) does not include a long cut, and it prevents causing damage to the muscles around the spine. As a rule, this causes less pain after the surgery and a speedier and healthy recovery.

Spine surgery is normally suggested when non-surgical treatments like medicinal or exercise based methods have not helped in lessening the excruciating symptoms of your back problem. Moreover, surgery is just considered if your doctor can pinpoint the correct reason of your pain, for example, a herniated circle or spinal stenosis. 

MISS is also called less obtrusive spine surgery. In these procedures, surgeons utilise particular instruments to get to the spine through little cuts. The surgery process is as follows:

  1. During the surgery, a little entry point is made and the tubular retractor is embedded through the skin.
  2. It is also inserted into the delicate tissues down to the spinal cord.
  3. This makes a passage to the little range where the problem exists in the spine.
  4. The tubular retractor holds the muscles open and is set up all through the surgery.
  5. The surgeon gets to the spine utilising the little instruments that fit through the focal point of the tubular retractor.
  6. Any bone or disk material that is expelled goes out from the retractor.
  7. Any gadgets needed for the fusion process, for example, screws or rods, are embedded through the retractor.
  8. A few surgeries require more than one retractor.
  9. Keeping in mind the end goal to see where to put the entry point and embed the retractor, the surgeon is guided by fluoroscopy.
  10. This strategy shows ongoing X-ray pictures of the patient's spine on a screen throughout the surgery.
  11. The surgeon additionally utilises a microscope to enlarge the view through the retractor.
  12. Towards the end of the procedure, the tubular retractor is expelled and the muscles come back to their original position.
  13. This restrains the muscle damage that is more ordinarily found in open surgeries.

It is very important to talk about these risks with your doctor before your surgery or procedure.

  1. InfectionAntibiotics are consistently given to the patient some time before, during, and regularly after the surgery to reduce the danger of infections.
  2. BleedingA specific measure of bleeding is normal; however, this is not commonly dangerous.
  3. Pain in the grafted area: Some patients will encounter surgical pain at the bone joint site.
  4. Recurring symptoms: A few patients may encounter a repeat of their side effects.
  5. Pseudarthrosis: Patients who tend to smoke are more prone to pseudarthrosis. This is a condition wherein there is insufficient bone formation. In case that this happens, a minor surgery may be required.
  6. Nerve damage: It is possible that the nerves or veins might be harmed during these operations. These complications are extremely uncommon.
  7. Blood clots: Another complication is blood clots in the legs. This poses a threat because these clots can break off and settle in the lungs. If you wish to discuss about any specific problem, you can consult an Orthopedist.
4457 people found this helpful

Minimally Invasive Spine Surgery - Why Should You Go For It?

Dr. Madhu Thumu 87% (40 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Hyderabad
Minimally Invasive Spine Surgery - Why Should You Go For It?

The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.

Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-

  1. Smaller incision compared to traditional surgical procedures, where only the injured area is accessed

  2. The surrounding tissues are untouched, unless they are injured and require repair

  3. Lesser bleeding compared to earlier techniques

  4. Lesser painful procedure

  5. Reduced hospitalization period

  6. Quicker recovery and return to normal activities

The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.

  1. Presence of symptoms relating to nerve compression, including pain from the spine down the leg.

  2. Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.

  3. People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.

  4. Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.

  5. Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.

Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever. In case you have a concern or query you can always consult an expert & get answers to your questions!

3599 people found this helpful

Minimally Invasive Spine Surgery - Do You Need It?

Dr. Avinash Jain 91% (142 ratings)
MBBS, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Indore
Minimally Invasive Spine Surgery - Do You Need It?

The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.

Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-

  1. Smaller incision compared to traditional surgical procedures, where only the injured area is accessed

  2. The surrounding tissues are untouched, unless they are injured and require repair

  3. Lesser bleeding compared to earlier techniques

  4. Lesser painful procedure

  5. Reduced hospitalization period

  6. Quicker recovery and return to normal activities

The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.

  1. Presence of symptoms relating to nerve compression, including pain from the spine down the leg.

  2. Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.

  3. People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.

  4. Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.

  5. Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.

Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever.

2431 people found this helpful

Minimally Invasive Coronary Artery Surgery

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Minimally Invasive Coronary Artery Surgery

Mics cabg or micas stands for minimally invasive coronary artery surgery. It is a relatively new and advanced technique of performing coronary bypass for coronary artery disease. In this technique the heart is approached through the side of the left chest via a small 4cm incision. This cut is placed just under the nipple. The chest is entered between the ribs without cutting any bones and by splitting the muscle.

Similar to a regular heart surgery the operation is performed using all arteries or a combination of arteries and veins removed from the leg. The vessel from the leg in these operations is also removed endoscopically without cutting the skin over the leg. Highly advanced instrumentation and advanced techniques allow for the operation to be performed very safely.

Mics cabg has several advantages over the traditional technique:


    First and foremost is the fact that no bones are cut. This has several advantages in reducing pain, retaining function and having a positive effect on breathing. Unlike traditional heart surgery return to normal life including driving or other activities is not disrupted and can be started almost immediately.

    Second, blood loss is almost negligible eliminating blood transfusion in most and eliminating blood borne infection.
    Third, all infections are reduced whether it be wound infections or post surgical lung infection. This makes the procedure ideal in diabetics and older patients who have poor resistance to infection.
    Fourth, the incision is so cosmetic and measures just 2 – 3 inches that it's practically impossible to tell that a heart operation has been done.
    Fifth, the procedure lasts only 4 days unlike the conventional heart surgery that takes 9 days.


All these benefits put together make for ultra short hospitalization and recovery. The best part is that all the blocks irrespective of their location in the heart can be bypassed in a safe and predictable manner.

2 people found this helpful
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