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Endoscopic Spine Surgery in Kochi, Kerala

Minimally invasive, camera-guided spine surgery for disc problems, nerve compression, and spinal stenosis — the smallest incision and fastest recovery for patients across Ernakulam, Kottayam, and Kerala.

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Overview

What Is Endoscopic Spine Surgery?

Endoscopic spine surgery is a minimally invasive technique in which a small camera (endoscope) and thin instruments are passed through an incision of less than 1 cm to treat spinal conditions. Unlike traditional open spine surgery, there is no large incision, no significant muscle stripping, and no long stay in hospital. Patients typically walk the same day or the next day.

Dr. Ganesh V.L performs endoscopic spine surgery in Kochi for patients with disc herniation, spinal stenosis, and nerve compression, enabling people across Ernakulam and Kottayam to access world-class minimally invasive spine surgery without travelling to distant cities.

Tiny Incisions — Minimal Scarring
Less than 1 cm — no large cuts, no significant muscle damage, and reduced post-operative pain compared to open surgery.
Faster Recovery
Home within 1 – 2 days. Back to light activity in 1 – 2 weeks. Return to desk work in 2 – 3 weeks in most cases.
Quick Facts
Procedure time
45 – 90 minutes
Hospital stay
1 – 2 days
Anaesthesia
Local with sedation or general anaesthesia (case-dependent)
Walking after
Same day or next day
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Symptoms

When to Consider Endoscopic Spine Surgery in Kochi

Not all back or neck pain requires surgery. The following symptoms — especially when they do not improve with conservative treatment — may indicate that an endoscopic surgical option is appropriate:

  • Leg sciatica or arm nerve pain that matches MRI findings of disc compression
  • Worsening weakness or difficulty walking due to nerve compression
  • No lasting relief after a proper trial of physiotherapy and pain medication (6 – 8 weeks)
  • Spinal stenosis with confirmed nerve compression on imaging
  • Recurrent disc herniation after previous surgery

Progressive nerve compression requires timely assessment. Always bring your MRI or CT scan report to your appointment.

See a specialist early

Bring MRI or CT to your visit so Dr. Ganesh V.L can match your symptoms to imaging and discuss whether endoscopic surgery is suitable.

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Procedures

Endoscopic Spine Procedures Performed

Dr. Ganesh V.L performs PELD (Percutaneous Endoscopic Lumbar Discectomy), endoscopic foraminotomy, and selected decompressions after a thorough review of your scans and clinical presentation.

Percutaneous Endoscopic Lumbar Discectomy (PELD)

The gold standard endoscopic procedure for lumbar disc herniation. A thin working channel is introduced near the affected disc under X-ray guidance and the herniated disc fragment is removed using micro-instruments and a camera. The procedure relieves sciatica with minimal blood loss and a very fast recovery.

Endoscopic Cervical Discectomy

For neck disc problems causing arm pain, numbness, or weakness, the disc fragment pressing on the cervical nerve root is removed endoscopically, preserving the disc and joint and avoiding fusion in suitable cases.

Endoscopic Foraminotomy

The bony tunnel through which the nerve exits the spine (foramen) is widened endoscopically when it has become narrowed and is compressing the nerve. Effective for foraminal stenosis causing persistent arm or leg pain.

Endoscopic Lumbar Decompression

For spinal stenosis causing leg pain and walking difficulty, the thickened ligament and bone pressing on the spinal canal are removed using an endoscope, without the need for fusion or a large incision.

FAQ

Endoscopic Spine Surgery — Common Questions

Short answers below; suitability always depends on your MRI and examination.

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Endoscopic surgery uses a narrow working channel and a camera so the surgeon can treat the disc or nerve compression with a very small incision and minimal muscle disruption. Open surgery often requires a longer incision and more tissue disruption. For suitable cases, endoscopic spine surgery can mean less pain after the operation, a quicker return to light activity, and a shorter hospital stay — but the right approach always depends on your diagnosis and imaging.

Most patients treated with endoscopic spine surgery at our Kochi centre go home within 1 – 2 days. Walking begins the same day or the next day. Light activity resumes in 1 – 2 weeks, and desk work or light duty in 2 – 3 weeks. Physical labour or prolonged sitting may take 4 – 6 weeks.

No. Endoscopic surgery is best suited for disc herniation, foraminal stenosis, and selected cases of spinal stenosis where the problem is at a defined level. Complex instability, deformity, or multi-level disease often requires open surgery with fusion. Your scans determine the best approach.

Most lumbar endoscopic procedures can be performed under local anaesthesia with light sedation, which means you are awake but comfortable. This avoids the risks of general anaesthesia for suitable patients. Cervical procedures and some complex cases require general anaesthesia.

Please bring your MRI or CT scan films and reports, any previous X-rays, your current medication list, and a list of symptoms including when they started and what makes them better or worse. This allows a complete assessment in your first visit.

Dr. Ganesh V.L provides endoscopic spine surgery consultations and procedures for patients from Ernakulam, Kochi, Kottayam, and across Kerala. You can access this advanced minimally invasive treatment locally without travelling outside the state.

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