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    Biportal endoscopic spine surgery treats spinal conditions through two small openings without a large incision.

    INFORMATIONSurgery Information

    Surgery Time

    1 hour

    Incision

    2cm

    Anesthesia

    Spinal or
    general anesthesia

    Walking

    The next day

    Daily Life

    Discharge after 5 days

    Showering

    Day after stitch removal

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    M E A N I N G

    What Is Biportal Endoscopic Spine Surgery?

    It treats spinal conditions such as herniated discs and spinal stenosis through minimal incisions,
    improving on conventional spine treatment without damaging healthy tissue.

    Without a large incision, the surgeon views the problem directly through two small openings
    and treats the affected area.

    Endoscope CameraSurgical
    Instrument
    Illustration of biportal endoscopic spine surgery with an endoscope camera and a surgical instrument

    CASEWho Is It For?

    Patients who are candidates for any spine surgery, including for stenosis or disc herniation

    Patients with spinal stenosis

    Older patients or those for whom surgery is difficult because of chronic illness

    Patients with a moderate to severe herniated disc

    Revision surgery needed because of spinal instability after disc surgery

    Patients who need a fast recovery

    TREATMENTHow Is the Surgery Performed?

    STEP 01

    X-ray, CT, MRI and blood tests are used to rule out tumors and other conditions.

    STEP 02

    The degree of disc herniation and spinal canal narrowing is checked and assessed accurately.

    STEP 03

    After a minimal 5 mm incision in the lower back, an endoscope is inserted to identify the exact cause, and the tissue causing the pain is removed.

    ADVANTAGEAdvantages of
    Spinal Endoscopy

    • · A camera inserted through a minimal incision allows precise surgery on problems inside the spinal canal
    • · Conditions that cannot be seen even on CT or MRI can be diagnosed accurately
    • · Fast recovery and short surgery time
    • · Little muscle damage and minimal damage to the spine

    EFFECTResults of Biportal Endoscopy

    X-ray before surgery

    Before Surgery

    X-ray after surgery

    After Surgery

    1

    Treatment is done through small openings without a large incision, so there is less damage to normal tissue.

    2

    The surgeon treats the problem while viewing it directly through the endoscope.

    3

    The time you need to wear a brace after surgery can be shortened.

    4

    You can return to daily life quickly.

    MANAGEMENTAftercare

    The incision needs to be disinfected until the stitches are removed.

    After discharge, bend or twist your lower back only gently and do not overdo it.

    For a while, sit on a chair rather than cross-legged on the floor.

    The procedure requires special equipment and a highly skilled, experienced surgeon.

    Week 1

    Right after surgery you can walk to the bathroom, and you are usually discharged after about 5 days. The wound needs care after surgery, and you may feel some stiffness from the implant.

    Week 2

    Limit movement as much as possible and wear a brace when you move.

    Week 3

    Leg raises lying down, stretching and short exercise sessions are possible, and light walking or office work is fine.

    Weeks 4–5

    Start spinal
    stabilization exercises.

    Week 6

    Start spinal strengthening and flexibility exercises; light work is possible.

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