Full-endoscopic discectomy for thoracic disc herniations: a single-arm meta-analysis of safety and efficacy outcomes

Silva, Jackson Daniel Sousa; Carelli, Luís Eduardo; Oliveira, José Alberto Alves; Araújo, Ricardo M L de

doi:10.1007/s00586-023-07595-7

Cited by 1 publication

(1 citation statement)

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“…Patient satisfaction rates were high, indicating the potential benefits of ESS in enhancing patient well-being and quality of life. Complication rates in experienced and well-trained endoscopic spine surgeons appear to be comparable to traditional discectomy and decompression procedures [ 11 - 14 ] within retrospective analyses, however the medical literature currently lacks high powered studies to further this.…”

Section: Discussionmentioning

confidence: 99%

Australian Spine Surgeon’s Perspectives on Endoscopic Spine Surgery: An In-depth Analysis

Reidy,

Mobbs

2023

Neurospine

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Objective: Endoscopic spine surgery (ESS) is a minimally invasive approach with reduced tissue trauma, shorter hospital stays, and faster recovery times. It employs advanced endoscopic instruments and imaging technologies to address a wide range of spinal pathologies with minimal disruption to surrounding tissues. As ESS continues to evolve, this article aims to gather insights into the opinions and perspectives of the key stakeholders involved, and highlight strategies to improve implementation.Methods: A cross-sectional survey was distributed to collect data on Australian spine surgeons’ perspectives of ESS. The survey questionnaire was distributed electronically to a diverse group of spine surgeons who are members of the Spine Society of Australia.Results: Of responders, 46.8% were already integrating ESS into practice, or had the sufficient training to commence ESS. A further 29.8% were contemplating introduction of ESS techniques, while just under one quarter of respondents (23.4%) were not interested in implementing minimally invasive techniques. Primary motivators for implementation included skill development and improved patient outcomes. Primary barriers included lack of training opportunities, length of time to develop competency and lack of current supporting evidence.Conclusion: The study contributes to the existing body of knowledge on ESS by providing a comprehensive analysis of surgeon opinions and experiences. The results highlight the growing interest in endoscopic techniques, while recognizing the challenges that need to be addressed to make this more widely utilised and available. The findings can guide future research, training programs, clinical practice and ultimately improve health and financial outcomes to patients and the wider health system.

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Section: Discussionmentioning

confidence: 99%