Minimally invasive disc removal using endoscopic spinal canal surgery

The Epiduroscope represents a breakthrough in the field of non-surgical treatments for spinal column conditions, particularly in cases of Failed back surgery syndrome.

Despite the simplicity of this technique, which involves a fine needle, it requires exceptional skill. Dr. Mohamed Koura is the only physician in the Middle East and one of the few worldwide capable of performing such procedures.

To understand the importance of the epiduroscope, it's crucial to first understand the concept of Persistent Spinal Pain Syndrome, which is the modern term for what was previously known as Failed Back Surgery Syndrome.

Persistent Spinal Pain Syndrome refers to chronic pain following spinal surgery, particularly in the lumbar and sacral regions. This pain persists after surgery or recurs after a period of pain relief, resembling pre-surgery pain. The pain may result from surgical failure, adhesions from surgery, or recurrent disc herniation.

In cases of small recurrent disc herniation or adhesions affecting the nerve root, foraminal endoscopy can be highly valuable in treating the problem without the need for further surgical intervention.

The procedure is performed under local anesthesia and sedation, guided by fluoroscopy. A catheter is inserted through a fine needle into the nerve root canal, and an endoscope, camera, and light source are inserted to provide a full view of the nerve root canal. Adhesions surrounding the nerve roots are then dissected at the same level of stenosis.

The procedure typically takes about 40 minutes from start to finish.

Advantages of the foraminal endoscopic approach include:

- Complete safety.

- Short operating room time.

- No need for incisions in the skin or muscles.

- Avoidance of surgical intervention and its complications.

- Discharge from the hospital approximately one hour after the procedure, with no need for prolonged hospitalization.

- Only 24 hours of required rest post-procedure, after which the patient can quickly return to normal activities.

If you are still experiencing pain after spinal surgery, contact Dr. Mohamed Koura's center, the only facility in the Middle East that provides a solution for post-back surgery pain syndrome.