The TESSYS® method uses the lateral endoscopic access via the foramen for removal of the herniated disc. The incision for transforaminal endoscopic surgery (TES) is extremely small, and the surgery can be performed under local anesthesia with sedation in the outpatient setting. The multiple advantages of transforaminal endoscopic surgery are; local versus general anesthetic, reduced risk of infection and instability, fewer subsequent scars, keyhole surgery and a quicker recovery time. Most patients can get up after a few hours and leave the hospital the same day.
With the use of special endoscopic instruments through small incisions, the surgeon can remove and cut off tissue directly and under constant camera control. The patients are given local and IV sedation/pain medication and remain awake and responsive during the entire surgery which allows the surgeon to appreciate possible pain reactions more effectively. In the lateral position with flexed hips, lordosis is decreased enabling easier access.
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