SED-YESS lumbar endoscope

The team of the Lower Silesian Center for Minimally Invasive Spine Neurosurgery KCM Clinic in Jelenia Góra specializes in minimally invasive and endoscopic surgical treatment of cervical, lumbar and thoracic spine diseases. Endoscopic hernia or hernia removal is one of the minimally invasive spine surgery methods. They arise as a result of the prolapse of the nucleus pulposus, causing pain. The existing open method of lumbar discopathy surgery performed under anesthesia became the modern SED-YESS method.

In this modern and minimally invasive method, an endoscope is used to remove the hernia. The endoscope is inserted into the intervertebral disc through the so-called posterolateral approach. This access bypasses the spinal canal where there are delicate structures such as the spinal cord, nerve roots, meningeal or vessels. Damage to these structures may be associated with postoperative complications, therefore the endoscopic SED-YESS method is a minimally invasive and safer alternative.

The diseased nucleus is removed with an endoscope. The endoscope is inserted through the posterolateral approach, and the diseased nucleus is removed through the working canals of the endoscope. The procedure is performed under local anesthesia and is administered intravenously. The procedure usually takes 30-45 minutes, and the patient’s stay in the hospital usually lasts about 2 days.

Before surgery, it is necessary to have a consultation with a neurosurgeon performing the procedure – dr hab. Stanisław Kwiek. To qualify for the procedure, a current MRI or CT scan result is required – the result cannot be older than 6 months. The test results should be with you during the consultation on the CD – the test description alone is not sufficient.

Magnetic resonance imaging or computed tomography is also available as a private service at OMEGA diagnostic imaging, which receives patients in the same building as KCM Clinic.

The patient must perform tests in accordance with the recommendations of the neurosurgeon after medical consultation prior to the procedure. Anesthesiological consultation, performed on the day of admission to the hospital ward, is also necessary. Prepare for a two-day stay in the hospital ward at KCM Clinic. Before the procedure, the patient reports to the Registration with full documentation and the results of imaging and laboratory tests.

It should also be remembered that patients after surgery cannot drive a car. The patient should take care of an accompanying person who will help ensure a safe return home.

Specialised physiotherapy and rehabilitation are very important after neurosurgery. It is absolutely necessary to follow the instructions of the doctor and medical staff. Correct physiotherapy is managed by Krzysztof Suszyński, MD, physiotherapy specialist, both before and after our minimally invasive endoscopic procedures.

Persons struggling with comorbidities or other health problems must inform their physician during the first qualification consultation. Before the procedure, all tests should be carried out as prescribed by the doctor and all recommendations before and after the procedure should be followed.

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