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Endoscopic Spinal Surgery/MISS

Endoscopic Spine Surgery is a type of state-of-the-art surgery that uses a small tubular system or micro-incisions, assisted with an endoscope for visualization. This type of Minimally-Invasive Spine Surgery (MISS) provides patients with quicker recovery and less pain than traditional spine surgery.

When you’re experiencing severe pain in your back for more than 6 weeks and all traditional methods fail, MISS helps you get yourself back on track.

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Preparation Time1-2 Hours

Post Procedure Care2-3 Days

Procedure Duration1-3 Hours

Back to Work2 Weeks

Approximate Cost *1 Lakh

Est. Recovery Period6-8 Weeks

*Price shown is an estimate. Actual prices may vary depending on the complexity of the treatment.

How Is MISS Performed?

A herniated disk in the lower back that pinches a nerve may cause severe leg pain, numbness, or weakness. To surgically relieve these symptoms, the disk is removed. This procedure is called a discectomy.

For the surgery, the patient is positioned face-down and a small incision (sometimes less than 1 in.) is made over the location of the herniated disk. The surgeon inserts the retractor and removes a small amount of the lamina bone. This provides the surgeon with a view of the spinal nerve and the disk. The surgeon carefully retracts the nerve, removes the damaged disk. This minimally invasive technique can also be used for herniated disks in the neck.

Benefits Over Regular Back Surgeries

  • Faster recovery after surgery
  • Less time spent in the hospital
  • Less postoperative pain
  • Reduced blood loss and risk of infection

Procedure Details

Preoperative Preparation:

Once the decision to go ahead with the surgery is made, our team of experts at Zoi take care of you. Our anesthesia team does a thorough preoperative evaluation and plans your general anaesthesia and postoperative pain management.

Choosing the right implant:

The patient follows up with the doctor at the end of two weeks, one month later and one year later from the date of surgery.


A simple one to two hour surgery to make sure you don’t feel pain in your back. Pain control measures are started immediately and gradual rehabilitation towards recovery is supervised by the team to ensure that patient is discharged in a stable condition by the end of the third or fourth day.

Full recovery is when the patient is able to perform all of his or her activities independently, relatively pain-free, able to drive own vehicle and climb stairs. Estimated full recovery depends on the age and health of the person, and may take 6-8 weeks.

After completion of the procedure patient is under the care of intensivist,operating surgeon,physical therapist and dietician.Pain control measures are started immediately and gradual rehabilitation towards recovery is supervised by the team to ensure that patient is discharged in a stable condition by the end of third or fourth day.

The only alternative to MISS is Open back surgery. Undergoing open surgery involves withstanding severe pain and waiting a longer duration towards complete recovery.

Doctors Who Perform Endoscopic Spinal Surgery/MISS

Dr. Ramesh Chandra Katragadda Orthopaedic Surgeon

Expertise: M.S.Ortho (Bom), D Ortho (CPS Bom) DNB Ortho

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Dr. Satish Devabhaktuni Orthopaedist & Spine Specialist

Expertise: D Ortho, MCh Ortho

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