What is MIS (minimal invasive spine); It is the English abbreviation of minimally invasive spine surgery. In the society, it is called endoscopic disc or disc surgeries with laser, wrongly-correctly by some of us. In such approaches to the spine, the skin incision is approximately 1 cm, the diameter of the tubular retractors or retractors used during the surgery is 18 mm, and these methods are minimally invasive since an endoscope is inserted through this hole. MIS surgery, which has become an urban legend, is the description of a painless and bloodless surgery in the society. MIS surgery is not a dream, it is reality. This type of surgery is rarely performed in some clinics devoted to this work.
Since tubular retractors separate the muscles and soft tissue from each other, these tissues are less damaged and there is less trauma to these tissues. As a result, less pain is felt. Specialized surgical equipment and microscopic or endoscopic imaging are used in surgeries performed through these tubes. Endoscopes are thin tubes with a light source and camera. They are inserted into the surgical field through retractors in the surgical field. In this way, it provides the surgeon with the opportunity to monitor the surgical field or the operation area from the monitor.
Benefits of MIS surgery to the patient:
Although most patients have a long time to return to active working life after spine surgery, they postpone their expectation of being able to perform sports activities to months later. . In addition to all these, elderly patients (the surgically risky group), obese, patients with complex spinal problems such as trauma or deformity are cooled from surgery with accusations that “you will not benefit from the surgery”. MIS surgery meets the high expectations of most patients.
Thanks to MIS surgery;
1-Muscles and soft tissues are preserved
2-The risk of post-operative infection is low
3- In most MIS surgeries, the patient is hospitalized for the day
4-The risk of bleeding is less
5-The complaints of pain after the surgery are less
6-The length of stay in the hospital is shorter
7-Remember that cosmetically small incisions are required for patients
8-Recovery is fast
9-Patients return to their daily work faster.
Treatment with MIS
Until very recently, all spinal surgeries were performed as open surgery. Spine surgery has kept pace with technological progress. Advances in surgical hand tools, advances in surgical technique and image-guided surgery techniques, technological advances in biotechnology and implants increase the reliability and effectiveness of MIS in spine surgery. MIS can be applied to the following situations:
1-Neck or lumbar hernia
2-Degenerative scoliosis
3-Narrow canal in the neck or waist
4-Luminoplasty
MIS procedures and techniques are reliable and effective methods for solving many spinal problems. Since these methods are quite technical, it is beneficial for patients to be applied by surgeons who have received MIS surgery training and have experienced enough cases.
