ENDOSCOPY VS. LASER
What is the difference?
uses a scope 6mm to 10mm in size
incisions are approximately 1 cm
uses a less invasive approach
uses tubes 16mm to 26mm in size
incisions are approximately 1 inch
uses a traditional tubular approach
SPINE SURGERY IN 1 CM OR LESS
Endoscopic spine surgery is performed with a 1 cm or less incision – smaller than a dime. The above pictures show incisions for two endoscopic discectomies. These incision are smaller than what is popularly advertised in the media as "laser surgery." Many "laser" procedures will use standard tubular retractors, with incisions roughly 1 inch in length (as a reference, there are 2.54 centimeters in 1 inch). An endoscopic spine incision is less than half the length of a typical laser microdiskectomy. Differences in length shown below:
The use of the word "laser" in spine surgery continues to cause immense confusion. People frequently think that surgeons are just zapping away discs with lasers by pressing a button. This is not the case. Lasers are simply tools that are used to burn tissue or remove bone. Lasers, ablators, ultrasonic devices, and burrs are all instruments that accomplish similar goals. Today these devices are usually used with standard microdiskectomy tubes that are around 1 inch in size.
With endoscopy, the surgeon uses a camera/scope instead of a larger tubular retractor. Tubular retractors are typically used with laser, ultrasonic, and microdiskectomy surgeries. So essentially endoscopy is a procedure that uses a different approach, tool, and technique than seen with laser or ultrasonic surgeries. This difference explains why the incisions are much smaller with endoscopics than the other procedures mentioned above. The endoscopic approach also minimizes damage to important muscles and tissues in the spine.