Hospital Perpetuo Socorro continues to innovate in spine surgery. Despite being for two years the only hospital in the Canary Islands that uses endoscopy as a method of approaching canal stenosis and herniated disc, the health center now takes a step further incorporating the latest endoscopic technology worldwide.
Since this summer has the technology of percutaneous endoscopy, of which several successful procedures have been carried out. To this technique, which only have two more private centers throughout the national territory, the cminimally invasive tubular surgery with assisted endoscopy that is already practiced in Hospital Perpetuo Socorro, making it a benchmark in the treatment of spinal injuries.
Both procedures present enormous advantages over traditional surgery. The conditions and needs of each patient will indicate the need for the application of one or the other system.
"We started with spinal endoscopic surgery two years ago and little by little we have advanced and counted on better technology as it progresses but in the same line." These are recent techniques in Europe that very few specialists in Spain still perform, especially since this type of surgery requires a very specific instrument to perform the intervention, which is why currently all the endoscopic surgery that is done in the Canary Islands is done by us at Hospital Perpetuo Socorro ", explains the Dr. Carlos Valencia, specialist in Neurosurgery from the center of Gran Canaria and responsible for the first interventions carried out with this new technology.
Its difference lies in the use of the endoscope, which allows a minimally invasive surgery with very small incisions through which it is introduced a cannula with a camera that allows to work without making large dissections to access the column as with traditional surgery performed with a microscope.
These minimal incisions cause a lot Less damage to the soft tissues of the spine, as muscles and ligaments, in addition to the nerves and the bony part of the spine, which is preserved much more with endoscopic surgery. By producing less damage to the structures of the column, its stability is preserved. One of the important problems in traditional surgery is that some patients who are operated for the first time must then be reoperated for instability in the spine. The endoscopic technique, by producing minimal damage to the structures that stabilize the spine, causes this risk to decrease markedly.
Precisely before the reoperations is a factor of great importance since with these techniques the scars are minimal, which makes the work easier. Likewise, if traditional surgery was previously used, the approach is also easier and safer.
"The patient who has to be reoperated has always been a problem in spinal surgery because with the traditional surgery, the course of the operation produces a large scar that later makes it difficult for these patients to intervene. patient through another working channel different from the one already done with the previous operation, makes it easier to approach this type of patients because it is not necessary to go through the previous scar resulting from the first operation. We are not going to see the scar and therefore technically it will be much easier to operate, "says Dr. Valencia.
Other advantages are the minimal bleeding and an early return to usual activities. In fact, percutaneous endoscopy allows a much faster recovery for the patient, being able to start walking six hours after having the operation done and return home in the first 24 hours. Complete recovery requires three to six weeks, and may even include physical exercise, and rehabilitation can begin a week after the procedure has been performed.
It also allows a Easier approach for certain patients such as the elderly, polypathic or suffering from obesity or overweight.
Regarding hernias, endoscopic spine surgery decreases the extent of the incision in the skin with respect to the traditional surgery, the injury on the structures of the spine, the manipulation that is necessary to perform on the nerves and also the amount of tissue that must be removed to reach the hernia, with which the postoperative scar is much lower with respect to the traditional technique, the possibility of complications, postoperative instability and the rate of reoperations.
Finally, the use of the endoscope in spinal diseases It is also designed to treat pain. In this way completely novel approaches can be made to combat very painful conditions such as facetized rhizolysis, infiltration and radiofrequency of the sacroiliac joint with the assistance of the endoscopic camera allowing the effectiveness of this type of treatment to increase.