Finished Product

AR-S7110-025U-330W

Human

Pinça Cup Fórceps angulada 2.5x330 mm WB

Spine

Product

Procedure

El enfoque endoscópico de las discectomías interlaminares proporciona un acceso mínimamente invasivo a las hernias posteriores de la columna lumbar inferior a las que puede resultar difícil acceder mediante un abordaje transforaminal. Además, la discectomía interlaminar produce menos alteraciones tisulares y musculares, tiempos de recuperación más breves y un retorno y un retorno mas rápido a las actividades que los procedimientos de reparación abierta tradicionales.1-4 Los instrumentos endoscópicos WishBone™ ofrecen una sensación táctil y una ergonomía mejoradas que facilitan el uso invertido y retrógrado con cualquier manos.
Referencias
1. Matsumoto M, Hasegawa T, Ito M, et al. Incidence of complications associated with spinal endoscopic&nbsp;surgery: nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of&nbsp;Japanese&nbsp;Orthopaedic&nbsp;Association.&nbsp;Orthop&nbsp;Sci. 2010;15(1):92-96. doi:10.1007/s00776-009-1428-6​
2. Ahn Y, Oh HK, Kim H, Lee SH, Lee HN. Percutaneous endoscopic lumbar foraminotomy: an advanced&nbsp;surgical technique and clinical outcomes. Neurosurgery. 2014;75(2):124-133.&nbsp;doi:10.1227/NEU.0000000000000361
3.&nbsp;Polikandriotis JA, Hudak EM, Perry MW. Minimally invasive surgery through endoscopic laminotomy and&nbsp;foraminotomy for the treatment of lumbar spinal stenosis. J Orthop. 2013;10(1):13-16.&nbsp;doi:10.1016/j.jor.2013.01.006
4. Ruetten&nbsp;S,&nbsp;Komp&nbsp;M, Merk H, Godolias G. Use of newly developed instruments and endoscopes: Full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J&nbsp;Neurosurg Spine 2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2.​

Discectomía endoscópica interlaminar

Child (D)

Endoscopic lateral recess decompression is an ultra-minimally invasive technique designed to relieve nerve pressure caused by a specific form of spinal stenosis, where the central canal remains open but the lateral recess compresses the traversing nerve root. This often-overlooked pathology is a common cause of unilateral or bilateral radiculopathy. By utilizing the interlaminar corridor, surgeons can precisely remove compressive bone and tissue with minimal disruption to surrounding anatomy. Patients typically experience significant pain relief and improved mobility shortly after surgery.1 Long-term studies suggest these benefits are durable, with low reoperation rates.2
 
References&nbsp;
 
1. Lee CH, Choi M, Ryu DS, et al. Efficacy and safety of full-endoscopic decompression via interlaminar approach for central or lateral recess spinal stenosis of the lumbar spine: a meta-analysis. Spine (Phila Pa 1976). 2018;43(24):1756-1764. doi:10.1097/BRS.0000000000002708. Erratum: Spine (Phila Pa 1976). 2019;44(4):E258. doi:10.1097/BRS.0000000000002988
 
2. Kesornsak W, Kuansongtham V, Lwin KMM, Pongpirul K. Pain improvement and reoperation rate after full-endoscopic decompression for lateral recess stenosis: a 10-year follow-up. Eur Spine J. 2023;32(8):2882-2888. doi:10.1007/s00586-023-07801-6

Lateral Recess Decompression

The traditional open approach for treating far lateral disc herniations at L5-S1 is challenging. Alternatively, the transforaminal endoscopic approach lands directly at the far lateral zone and requires little or no facet resection to achieve decompression.

Far Lateral Transforaminal Endoscopic Lumbar Discectomy

The ultra-minimally invasive trans-SAP approach provides a targeted corridor for accessing foraminal and lateral recess pathology, as well as cranial disc extrusions, particularly when facet anatomy or pathology limits a direct trajectory beneath the superior articular process. 1,2&nbsp;
 
References
 
1. Lee S, Kim SK, Lee SH, et al. Percutaneous endoscopic lumbar discectomy for migrated disc herniation: classification of disc migration and surgical approaches. Eur Spine J. 2007;16(3):431-437. doi:10.1007/s00586-006-0219-4
2. Lewandrowski KU, Telfeian AE, Hellinger S, et al. Difficulties, challenges, and the learning curve of avoiding complications in lumbar endoscopic spine surgery. Int J Spine Surg. 2021;15(suppl 3):S21-S37. doi:10.14444/8161

Trans-SAP Endoscopic Lumbar Discectomy

Un abordaje transforaminal o paraespinal permite acceder a hernias-laterales lejanas. El uso de un endoscopio específico para columna minimiza el daño a los tejidos blandos, lo que da como resultado menor dolor posoperatorio. 1,2 Además, estudios demostraron que aproximadamente el 85 % de los pacientes sometidos a discectomía lumbar endoscópica retornaron a la actividad deportiva en tan solo 6 a 8 semanas.3,4
Referencias
1. Sairyo&nbsp;K, Matsuura T,&nbsp;Higashino&nbsp;K, et al. Percutaneous endoscopic lumbar&nbsp;discectomy for athletes. J Spine. 2013;S5(006):1-4. doi:10.4172/2165-7939.S5-006&nbsp;​
2. Sivakanthan&nbsp;S, Williams JR,&nbsp;Feroze&nbsp;AH, et al. Endoscopic spine surgery in&nbsp;athletes: case series and review of literature. World&nbsp;Neurosurg. 2021;145:702-707. doi:10.1016/j.wneu.2020.08.211
3. Polikandriotis&nbsp;JA, Hudak EM, Perry MW. Minimally invasive surgery through&nbsp;endoscopic laminotomy and foraminotomy for the treatment of lumbar spinal&nbsp;stenosis. J&nbsp;Orthop. 2013;10(1):13-16. doi:10.1016/j.jor.2013.01.006
4. Ruetten&nbsp;S,&nbsp;Komp&nbsp;M, Merk H,&nbsp;Godolias&nbsp;G. Use of newly developed instruments&nbsp;and endoscopes: Full-endoscopic resection of lumbar disc herniations via the&nbsp;interlaminar and lateral transforaminal approach. J&nbsp;Neurosurg&nbsp;Spine.&nbsp;2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2

Discectomía endoscópica transforaminal

Minimally invasive endoscopic cervical foraminotomy and decompression is designed to treat cervical radiculopathy and other conditions that compress the nerve root. Utilizing an endoscope, surgeons can directly visualize and remove compressive pathology such as disc herniations, osteophytes, and hypertrophic ligaments. This technique minimizes soft-tissue disruption, reduces blood loss, allows for quicker recovery, and has demonstrated high clinical success rates, with a systematic review reporting 91.3% overall and up to 94.2% for posterior approaches.1,2 Additionally, long-term follow-ups show lasting symptom relief, high patient satisfaction, and a lower risk of adjacent segment disease compared to traditional ACDF surgery.3
Potential applications include treatment of cervical radiculopathy, herniated cervical discs, cervical spondylosis, foraminal stenosis, and osteophytes (bone spurs). Research supports its effectiveness in treating both soft disc herniations, where the nucleus pulposus compresses the nerve root, and hard disc herniations caused by calcified disc material.4 A lower incidence of spinal instability has also been reported, suggesting a reduced need for future spinal fusion procedures.5
Careful patient selection is key to optimal surgical outcomes; those with major deformity, instability, or large central herniations may require alternative surgery. With proper selection and advancing technology, this method remains a safe, effective, and motion-preserving option for cervical nerve decompression.1
References
1. Huang CC, Fitts J, Huie D, Bhowmick DA, Abd-El-Barr MM. Evolution of cervical endoscopic spine surgery: current progress and future directions—a narrative review.&nbsp;J Clin Med.&nbsp;2024;13(7):2122. doi:10.3390/jcm13072122
2. Alomar SA, Maghrabi Y, Baeesa SS, Alves ÓL. Outcome of anterior and posterior endoscopic procedures for cervical radiculopathy due to degenerative disk disease: a systematic review and meta-analysis.&nbsp;Global Spine J.&nbsp;2022;12(7):1546-1560. doi:10.1177/2192568221103727
3. Kim HS, Wu PH, Tze-Chun Lau E, Jang IT. Narrative review of uniportal posterior endoscopic cervical foraminotomy.&nbsp;World Neurosurg.&nbsp;2024;181:148-153. doi:10.1016/j.wneu.2023.10.021
4. Bergamaschi JPM, Brito MBS, Araújo FF, et al. Surgical technique of central and over-the-top full-endoscopic decompression of the cervical spine: a technical note.&nbsp;J Pers Med.&nbsp;2023;13(10):1508. doi:10.3390/jpm13101508
5. Zhang C, Wu J, Zheng W, Li C, Zhou Y. Posterior endoscopic cervical decompression: review and technical note.&nbsp;Neurospine.&nbsp;2020;17(Suppl 1):S74-S80. doi:10.14245/ns.2040166.083

Cup Forceps, Up Angled, 2.5 x 330mm, WB

AR-S7110-025U-330W

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