By Gregory Bell


Minimally invasive surgery, otherwise known as MISS, is a new and better approach as compared to the old open form of surgical operation. The procedure entails using a tube like instrument to access the specific area in the spine with a problem. It is a technique that is increasingly being adopted due to the short duration of operating time required and overall better outcomes. These are some of the facts concerning minimally invasive spine surgery Long Island patients may be interested in.

An operation is usually the last option for common back problems as most cases usually resolve with rest and analgesic drugs. Surgical operation may also be done as an emergency in cases where the spinal cord is at risk of injury, as occurs in severe physical trauma to the back. Surgical intervention is paramount for spine infections complicating with a huge amount of pus formation. Moreover, patients with spinal tumours are good candidates for surgical resection.

Like in any other operation, the patient has to be adequately prepared for the surgery. The doctor will ask questions related to your condition. This may include questions such as how long you have had the condition, your past medical history, drug history and so forth. The patient will also be examined as a whole, with emphasis put on the back and related systems. In addition, certain investigations will be ordered to ascertain your fitness for the procedure. As a guide to the operation, an appropriate radiological investigation is carried out to get the exact location of disease. This may include X-rays or CT scans.

During the operation, the patient may be given either general or regional anesthesia, depending on the location of lesions and anticipated duration of procedure. The regional form of anesthesia only paralyses the lower part of your body and you will be awake through the entire procedure. Prophylactic antibiotics are also administered to minimize the risk of infection afterwards.

Two options are available for anaesthesia; general and regional. Regional anesthesia numbs only the lower section of the body and keeps the patient conscious in the process. General anaesthesia, on the other hand, puts the patient to sleep and is used in cases where regional anesthesia is deemed inappropriate. Anaesthesia also has its own complications including difficult endotracheal intubation, respiratory distress and cardiac arrest. The drugs used are also known to cause nausea and vomiting during the recovery period.

Decompression and joint fusion are among the common procedures done on the backbone. Sometimes, the roots of nerves next to the spine can be kinked through a disc prolapse. The disc therefore has to be cut to release the kinked roots. Laminectomy can also be done for a similar purpose. Fusion is indicated in cases where one joint does not function properly on its own and could be causing undue pain to the patient .

Recovery after MISS is considered to be faster than open surgery. The pain experienced post operatively is much less, due to minimally disruption of soft tissues and also because the wound size is smaller. The patient will be taken through several physiotherapy sessions to help them function normally again.

Minimally invasive surgery is a technique that is fairly expensive but carries tremendous benefit to the patient. MISS is being modified progressively through the use of various kinds of scopes. Continuous training of specialists in this field will go a long way in addressing the existing surgical risks.




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