YESS Selective Endoscopic Discectomy™

Overview
This minimally-invasive procedure is performed
through a small tubular device. It is designed to
relieve pain caused by herniated discs pressing on
nerve roots. The surgery is performed under local
or epidural anesthesia, allowing the patient to leave
the hospital the same day.


Guide Wire Inserted
After the disc protrusion is confirmed, a guide wire
is inserted to the affected disc. The surgeon uses a
special type of x-ray machine called a fluoroscope
to ensure that the route to the herniated disc is
made in the correct location.


Obturator Inserted
A two-hole obturator tube is passed over the guide
wire to push apart the tissue down to the disc and
to move the nerve root out of the way. Painful
tissue in the path of the obturator may be
anesthetized.


Working Sleeve Inserted
The working sleeve, through which the surgery will
be performed, is slid over the dilating tube. It is
positioned on the disc surface. The guide wire and
dialator are then removed.


Endoscope Inserted
An endoscope (which contains a surgical light and
small camera) is placed through the tube, allowing
the surgeon to view the annulus, disc, and epidural
space on a video monitor. The surgeon will use the
endoscope to guide the surgical tools and inspect
the results.

Degenerative Portions Removed
The surgeon uses instruments to remove degenerative and extruded portions of the disc nucleus. Because only enough of the disc is removed to reduce pressure inside the disc, the spine remains stable.


Disc Wall Treated
The disc wall defect is treated with a laser and radiofrequency probe. The foramen and nerves are inspected to confirm successful decompression. The instruments and sleeve are removed.


End of Procedure
The insertion area in the skin is covered with avsmall bandage. Because no muscles or bone are cut during the procedure, recovery is fast and scarring is minimized. The patient may need a day of bed rest after the procedure and physical therapy. Most patients may return to normal activity within one to six weeks.

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