Laparoscopic surgery is a new surgical specialty which involves operating through small incisions. Typically, about 4 incisions less than 1/2 inch (10 millimeters) in length are used.

The word laparoscopic refers to a type of telescope used to see inside the body. The internal organs are seen by inserting a laparoscope through one of the small incisions. A tiny camera is attached to the laparoscope, which transmits the image to a television screen above the operating table. Surgeons manipulate specially designed surgical instruments that enter the body through small, hollow tubes to retract, cut, suture, and staple.

The laparoscope is the "camera" with only a diameter of 5-10mm (0.5-1cm) and in a straight rod. It uses a high intensity light, such as xenon or halogen, and 3-chip technology. It is inserted in the abdomen so that the surgical team can observe the inside of the abdomen on a high resolution video screen. The laparoscope is moved to direct the view seen. A video recorder can be used to record the surgery and photographs can be made with a video-printer.

Laparoscopic surgery decreases the size of incisions used by surgeons resulting in less pain and scarring, a shortened hospital stay and a faster recovery compared to traditional surgical techniques. Laparoscopic surgery is sometimes called Keyhole Surgery, Band-Aid Surgery and Minimally Invasive Surgery. The laparoscope actually provides surgeons with a much more detailed view of the operative site for more precise work.

Independent reviews were carried out with the following results: Excellent = 60% (432 cases) Good = 30% (216 cases) Fair = 3% (21 cases) Poor = 2% (14 cases) Unknown = 5% (38 cases)

Studies have shown major benefits to the patient in terms of reduced post operative pain, increased post operative comfort, reduced hospital stay, quicker return to normal physical activities and ultimately a quicker return to work. Improved cosmesis and reduced wound complications associated with large scars are also major advantages associated with this technique. As a result, there is less need for post-surgical pain medication, less scarring, and again, quicker recovery.

We believe minimal invasive endoscopic discectomy, should be considered as standard surgical technique. It is safer, less risky with a fast return to normal activities, and more economical. Although laparoscopic surgery is a viable alternative to traditional open surgery for many conditions, it may not be appropriate for everyone. There are times when the condition of the patient or the existence of other disorders makes open surgery a better choice. Patients should consult their primary care physician regarding the best course of treatment.