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Doctor insights on: Percutaneous Endoscopic Discectomy

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What is pcnl (percutaneous nephrolithotomy)?

What is pcnl (percutaneous nephrolithotomy)?

PCNL: Minimally invasive surgery for removal of large kidney stone/s. Nephrostomy tube (catheter) is placed in kidney thru skin in back or flank, either under local anesthetic & with sedation or general anesthesia day before or day of procedure. Then nephroscope (kidney telescope) passed thru catheter channel, stone is visualized & broken up with laser or percussion "gun" & fragments are irrigated out. ...Read more

Percutaneous (Definition)

In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more


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What is the m.I.L.D. Procedure, minimally invasive lumbar diskectomy?

What is the m.I.L.D. Procedure, minimally invasive lumbar diskectomy?

A few variations: Minimally invasive lumbar diskectomies are when spine surgeons utilize a small retractor or tube through which they gain access to the spine. They can then perform surgery in a minimally invasive way to remove a herniated disk in your back. ...Read more

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Which is better in removing herniated disc ..The microdiscectomy vs endoscopic discectomy ?

Which is better in removing herniated disc ..The microdiscectomy vs endoscopic discectomy ?

Disc herniation: Both approaches to removing disc herniations are effective. The location of the herniation will dictated the best approach, whether more from the middle of the spine to an approach from the side of the spine. Many spine surgeons have experience with both microdiscectomy and endoscopic. It is important to discuss these approaches with the surgeon. ...Read more

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How risky is minimally invasive spine surgery?

How risky is minimally invasive spine surgery?

Depends: It depends on exactly what is being done, your surgeon's experience and training, your size and medical condition, the type of condition being treated. All surgery has risks. Mis can reduce some risks, but may increase other. Have a frank discussion with the surgeon recommending the procedure. ...Read more

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Hows stereotactic biopsy procedure done?

Hows stereotactic biopsy procedure done?

Computerized locati: The suspicious density, seen in x-ray but can not be felt , this area is located in two or more planes, marked, computer guided needle enters, at the marked site and takes biopsy, radio opaque, marker is placed for future reference, that biopsy was taken from correct location , then simple small dressing will be applied. ...Read more

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How is laparoscopic surgery performed?

How is laparoscopic surgery performed?

With small incisions: Laparoscopy, in general, is performed with the patient asleep. The abdomen is filled with co2 to elevate the abdominal wall away from the internal organs. Tubes called trocars are placed at various spots on the abdomen depending on the surgery. Through the trocars are placed a camera and surgical instruments. The incisions are generally small and the healing time faster than open surgery. ...Read more

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Recovery from laparoscopic ventral rectopexy surgery?

Recovery from laparoscopic ventral rectopexy surgery?

What: What about it? You mean recovery time form ventral hernia repair. About a week to two depending on size. ...Read more

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What is endoscopic carpal tunnel surgery?

What is endoscopic carpal tunnel surgery?

CTS Surgery: The endoscopic surgery is performed by a orthopedic surgeon who makes very small incisions in the wrist area and then use them to decompress the median nerve which is involved in cts. The down time is substantially less with this surgery. ...Read more

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Anyone done a nissen fundoplication laparoscopic surgery?

Anyone done a nissen fundoplication laparoscopic surgery?

Yes!: This is the most common anti-reflux procedure, involving closure of the hiatal hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. An incisionless option, tiff, is available 2. ...Read more

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How is carpal tunnel surgery performed?

How is carpal tunnel surgery performed?

By proper surgeon: Carpal tunnel syndrome, if appropriately diagnosed, shold be treated non-surgically if possible and then if surgery is needed, should be performed by a reputable surgeon trained and skilled in this surgery. An incision is made over the middle of the heels of the hand and wrist and down through a fibrous ligament to release pressure on the nerve. Ortho, neuro or plastic surgeons usually do this. ...Read more

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Who is minimally invasive heart surgery performed on?

Who is minimally invasive heart surgery performed on?

Depends : Test would be done to determine if you’re a candidate for minimally invasive heart surgery. Some deciding factors may include medical history, age, type of heart disease and lifestyle. Generally, someone who has had heart surgery prior would not be a candidate. Some surgeries include ASD and PFO repairs, removal of tumors, valve, bypass and a-fib surgeries. ...Read more

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Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Relatively common: The most common anti-reflux procedure is called a fundoplication, which involves closure of the hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. ...Read more

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How is arthroscopic surgery typically performed?

How is arthroscopic surgery typically performed?

Outpatient surgery: 2-4 small 1 CM incisions. General anesthesia time is short, but can also be done under spinal anesthetic. The joint is thoroughly inspected and imaged. Damaged tissues are repaired or removed under direct visualization. More complex procedures can be combined with this as well, changing the incisions and anesthesia time. ...Read more

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What's involved in the endoscopic tif procedure?

What's involved in the endoscopic tif procedure?

No incisions: Similar to a nissen, it wraps the stomach around the distal esophagus but only for approximately 240degrees (not the typical 360) and it is done inside the stomach through use of an endoscopic and not from the outside requiring incisions. Not everyone is a candidate for a tif so speak with a qualified surgeon. ...Read more

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Has minimally invasive surgery replaced open surgery in gynecology?

Has minimally invasive surgery replaced open surgery in gynecology?

Not yet: Not yet but that's the goal. The advantages of minimally invasive surgery is incredible, but there is a high learning curve to master which makes it a little more challenging to make this into the gold standard. We are making great strides however. ...Read more

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What amount does endoscopic thoracic sympathectomy (ets) surgery cost?

What amount does endoscopic thoracic sympathectomy (ets) surgery cost?

Depends: The cost is specific to where you are. This can range from about 15000 to over 60000. Get a breakdown of charges and results before you decide. ...Read more

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Gall stone surgery, is open or laser surgery better?

Gall stone surgery, is open or laser surgery better?

Most surgeons: would agree that laparoscopic cholecystectomy, when technically feasible, is better than open cholecystectomy in the vast majority of cases. Ask your surgeon for specific recommendation in your case. ...Read more

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Can a general surgeon do the following procedure: endoscopic retrograde cholangiopancreatography (ercp)?

Can a general surgeon do the following procedure:  endoscopic retrograde cholangiopancreatography (ercp)?

GI doctor: It is typically a gastroenterologist who does ercp's. It is pretty rare that a general surgeon will do an ercp. ...Read more

Dr. Scott Tromanhauser
211 doctors shared insights

Discectomy (Definition)

Discectomy is the a surgical procedure in which the ruptured portion of a ruptured spinal disc (the pad between two vertebrae) is removed. Disc tissue near the rupture may also be removed, but usually most of the disc is saved. If a spinal fusion is needed, a more ...Read more


Dr. Corey Clay
178 doctors shared insights

Diskectomy (Definition)

The term discectomy refers to an excision of all or part of a disc. The disc itself is a cartilage structure that is located between two vertebral bodies. Disectomies are typically performed to improve pain and/or function in a patient that had ...Read more