Minimally invasive spine surgery is a method that uses special surgical instruments to see inside the body without the need for large incisions. Discectomy surgery involves removing all or part of the disc and relieving pressure on the surrounding tissue. To perform this type of surgery, the doctor must first cut through the skin and muscle layers, then remove any damaged tissue, and finally sew the wound shut. Having the right tools and instruments is important to get the job done right.
The most commonly used surgical instruments during discectomy are Surgical Forceps, Rongeur Forceps, Trephines, Dilator, Probes, and Bone Graft Pusher.
Surgical Forceps: Surgical Forceps are employed for grasping tissues or instruments under endoscopy during surgery. They are equipped with an overload protection device.
Rongeur Forceps: Rongeur Forceps is designed to grasp and remove bone or tissue fragments with precision and control. These forceps are typically used in minimally invasive surgeries to access and treat various medical conditions, such as spinal disorders or joint abnormalities.
Trephines: Trephines are attached to a handle via a quick-lock structure, allowing for easy combination. It is used alongside other surgical instruments during laminotomy or intervertebral foramen expansion procedures.
Dilator: The dilator is utilized independently for dilating soft tissues or for fine-tuning the position of a guide wire after dilation to establish the surgical pathway for a lumbar spine posterior approach.
Probes: After withdrawing the needle core, the surgical probe is utilized to insert the guide wire.
These devices can help doctors reduce the need to use multiple needles when operating on patients' bodies, thereby reducing pain and discomfort.
It is the responsibility of the surgical team to source these instruments from reputable suppliers to ensure that your surgeon has access to everything they need for the procedure at hand. Lingchuang Yihui focuses on the R&D and production of discectomy surgical instruments, and we are working hard to provide surgical instruments and solutions that meet your specific needs.
Percutaneous Endoscopic Lumbar Discectomy (PELD) is a minimally invasive surgical technique used to treat lumbar disc herniation and other lumbar spine conditions. Here are the key points about PELD:
1. PELD is performed through a small incision (about 10 mm) using an endoscope, resulting in minimal tissue damage, less blood loss, and faster recovery compared to open surgery.
2. There are two main approaches for PELD:
- Transforaminal approach (PETD): Suitable for L3/4 or upper levels
- Interlaminar approach (PEID): Preferred for L4/5 and L5/S1 levels
3. Indications for PELD include:
- Lumbar disc herniation
- Lumbar spinal stenosis
- Recurrent lumbar disc herniation
- Huge lumbar disc herniation with complete dural sac stenosis
4. Advantages of PELD:
- Can be performed under local or epidural anesthesia
- Short hospital stay and early return to work
- Minimal damage to bony elements, preserving spine stability
- Reduced risk of secondary degenerative diseases
5. Potential complications include dural tear, nerve root injury, intervertebral infection, and recurrence of disc herniation.
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