Minimally invasive surgery aims for painless, scarless outpatient treatment. Just over a decade ago, minimally invasive surgery (MIS) was just being introduced into widespread use in general surgery. Today, MIS has become the standard of care for many procedures and has become widely accepted in nearly all medical specialties, often replacing traditional, open surgery.

Dr. Rezaian is one of the pioneers of minimally invasive back surgery and his success record speaks for the effectiveness of this procedure.

A Study
EXPERIENCE WITH MINIMAL INVASIVE OF ONE PORTAL ENDOSCOPIC DISCECTOMY ON 721 PATIENTS:

• All 721 patients were treated as a “one day” case in and out of the hospital except 3 who had to stay 1 to 3 days.
• All were treated with the “one portal” approach. Cervical Discectomy were performed under general anesthesia, whereas for Lumbar Endoscopic Discectomy procedures were performed under deep sedation and local anesthesia.
• The surgery was performed at the level of C5 - C6 in 24 cases, C6 – C7 in 11 cases, and both levels in 6 cases. Level L4 – L5 in 521 cases, L5 – S1 in 141 cases, and both levels in 18 cases.

From 1984 to 1999, Dr. Rezaian operated on 721 patients with herniated disc of Cervical Spine or Lumbar Spine. There were 311 males and 410 females. Their ages range from 13 to 84 years with 95% under 50 years of age.

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

We believe minimal invasive endoscopic discectomy, should be considered as standard surgical technique, instead of the Smith-Robinson or the Claward procedures (in cervical herniated disc) or laminectomy or discectomy in herniated lumbar disc). It is safer, less risky with a fast return to normal activities, and more economical. (see laparoscopic vs. open surgery)

California Orthopaedic Medical Clinic, Inc. is involved in ongoing research and development in the field of orthopaedic surgery. We would be pleased to respond to any inquiries regarding these techniques, and will provide further information, as required.