Endoscopic spine surgery is a state-of-the-art surgical technique for managing conditions of the spine. Our very own Professor Mobbs answers 10 questions to help you better understand Endoscopic Spine Surgery, its benefits, and what to expect during the recovery process.
 

1. What is endoscopic spine surgery?

Endoscopic spine surgery is a minimally invasive surgical technique used to diagnose and treat spinal problems. It involves inserting a small camera and specialised tools through tiny incisions in the skin, allowing surgeons to visualise and treat issues in the spine without the need for large incisions. I really enjoy performing endo spine and seeing the happy patients afterwards!
 

2. What conditions can be managed with endoscopic spine surgery?

Endoscopic spine surgery can be used to treat various conditions such as herniated discs, spinal stenosis, sciatica, pinched nerves, and certain types of back pain caused by problems like bulging discs. These are all common conditions that we deal with at the NeuroSpineClinic at Prince of Wales Private.
 

3. Why do you recommend endoscopic spine surgery and what are the potential benefits as a patient?

Endoscopic spine surgery is recommended when a less invasive approach is suitable for your condition. Benefits include smaller incisions, reduced pain, shorter hospital stays, faster recovery, and potentially lower risk of complications compared to traditional open surgery.
 

4. Are there any risks associated with this type of surgery?

Yes, like any surgery, endoscopic spine surgery has risks. These can include infection, bleeding, nerve damage, or incomplete relief of symptoms. It's essential to discuss these risks thoroughly with your surgeon before making a decision.
 

5. Do you have any specific pre-surgery preparations or recommendations for patients?

Your surgeon will provide specific pre-surgery instructions, which may include fasting before the surgery, stopping certain medications, and arranging for post-surgery help at home.
 

6. What is the expected recovery time, and when can I return to normal activities?

Recovery time varies depending on the procedure and individual healing. Generally, patients can resume light activities within a few days but might need to avoid heavy lifting or strenuous activities for a more extended period. Always follow your surgeon's advice regarding activity restrictions.
 

7. Will I need physical therapy or rehabilitation after the surgery?

Physical therapy or rehabilitation might be recommended to aid in your recovery and improve strength and flexibility. Your surgeon or healthcare team will assess your needs and guide you accordingly.
 

8. How long have you been performing endoscopic spine surgery, and what is your experience with this technique?

I first tried Endoscopic Spine surgery over 15 years ago. At that stage the equipment was rudimentary and there was no formal training, so I struggled! Over the years I have tried it again and more recently, with renewed interest in the technique and improvements in training and equipment, I have been performing endo spine regularly over the last few years. Currently, I have performed over 300 cases of endo spine.
 

9. How much does endoscopic spine surgery cost, and will it be covered by my insurance?

The cost of the surgery can vary widely depending on factors such as the specific procedure, hospital fees, and location. Insurance coverage also varies, so it's crucial to check with your insurance provider to understand the extent of your coverage.
 

10. Is endoscopic spine surgery right for me?

This is a decision best made after thorough consultation with your healthcare provider. They will assess your condition, medical history, and other factors to determine if endoscopic spine surgery is suitable for you. Be sure to ask all your questions and address any concerns you have during these discussions.
 

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About Professor Ralph Mobbs

BSc (Med), MB, BS, MS, FRACS (Neuro)

Spinal Neurosurgeon

Ralph Mobbs is a Spinal Neurosurgeon at the Prince of Wales Private and Public Hospitals in Sydney, Australia. He is director of the NeuroSpineClinic, Chair of the NSURG research group and Editor-in-Chief of the Journal of Spine Surgery, and is clinical Associate Professor in Neurosurgery.

His clinical expertise is in the areas of Spinal Endoscopy, Spinal tumors, Spinal trauma, and minimally invasive spine surgery for degenerative conditions. Over the last 15 years, he has developed new surgical fixation systems and implants, approaches and techniques in common use today.

Dr Mobbs is heavily involved in the UNSW ILP program and supervising PhD and MS students. He has published over 300 peer reviewed articles on Neurosurgery and Spinal Surgery.
 

Contact details:

Suite 7, Level 7, Prince of Wales Private Hospital, Barker Street, Randwick NSW 2031

T 02 9650 4766
F 02 9650 4943

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