The best candidates for spinal endoscopy are those who have had previous lumbar spine surgery. Scarring could be visible on MRIs or other X-rays in most of these patients. Continue reading to learn more about Dr. Gurneet Shawney, Mumbai’s best spine surgeon.

Dr. Gurneet Singh Sawhney is regarded as one of Mumbai’s greatest neurosurgeons. He has orthopedic and neurosurgery skills to deliver the most acceptable treatment for his patients. As a result, he is regarded as one of Mumbai’s best neuro-spine surgeons.

Furthermore, as a spine surgeon with years of experience, he can treat any spinal ailment, whether mild or significant, new or failed surgery syndrome. When combined with cutting-edge technology, this method makes it one of the top spine surgeries in Mumbai.

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Dr. Gurneet Sawhney is a highly trained and experienced Mumbai-based spine surgeon specializing in sophisticated and straightforward spine operations. He has received specialized training in minimally invasive spine surgery and CVJ surgery in real-time.

The primary requirement for obtaining surgical goals is a clear view of the surgical field. Most spine surgical approaches involve the surgeon’s diseased region being directly manipulated, rebuilt, or replaced.

Due to the deep anatomical positioning of the spinal structure, substantial skin incisions, and extensive tissue dissection, surgeons used to do significant bone removal in some situations earlier. As a result, there have been several issues and low patient satisfaction.

Endoscopic spine surgery is a cutting-edge minimally invasive spine surgery procedure that has revolutionized the way, back and neck disorders are treated. With the help of a high-definition camera, the surgeon inserts miniature tubes via millimeter-long skin cuts (called an endoscope). 

That is to say, the benefits are: 

  • There is no need for general anesthesia.
  • As much healthy tissue as possible is saved surrounding the injured part of the spine.
  • There is less blood loss.
  • The normal mobility of the spine is retained.
  • Faster recuperation.
  • There is more minor discomfort.
  • There are fewer drugs.
  • There are fewer complications.
  • Overall, clinical outcomes have improved.

Dr. Gurneet Singh Sawhney, one of Mumbai’s best spine surgeons, has extensive experience in endoscopic spine surgery and thus provides his thoughts on the subject.

Continue reading to discover more about endoscopic spine surgery, including the procedure, advantages, and other details.

Let’s start with the basics, shall we?

What is a spinal endoscopy procedure?

During spinal endoscopy, a small endoscope is passed through the tailbone into the epidural region. This allows for direct visual imaging of the interior of the spinal canal. Spinal endoscopy is sometimes known as epiduroscopy since the endoscope looks into the epidural space.

During the treatment, the surgeon tries to remove some of the scar tissue or adhesions that have formed around the trapped nerves. A spinal endoscope can help deliver drugs to injured areas, particularly the spinal nerve roots.

Let’s see,

Who is the best candidate for a spinal endoscopy procedure?

  • The best candidates for spinal endoscopy have had previous lumbar spine surgery. Scarring could be visible on MRIs or other X-rays in most of these patients.
  • Patients who haven’t had back surgery but haven’t responded well to earlier treatments may benefit from a spinal endoscopy. When other, more conservative treatments have failed, spine endoscopy is frequently used.

What factors should you consider before selecting an endoscopic spine surgeon?

  • It may appear that locating a specific sort of spine specialist in your area is a complex undertaking.
  • An excellent place to start is with your healthcare providers, particularly your primary care physician. They know your medical history and have most likely offered you non-surgical options before recommending spine surgery.
  • Always double-check that your spine surgeon is well-trained and competent in the surgical procedure you’ve been recommended.

The procedure of Endoscopic Spine Surgery:

  • The surgeon begins by preparing the patient for surgery, including providing a local anesthetic to alleviate pain.
  • The surgeon makes a 1-inch or smaller skin incision and inserts a tubular trocar (about the width of a pencil).
  • Depending on the patient’s exact diagnosis, the endoscopic technique may approach the spine in one of two ways:

(i) Intralaminar (from the rear of the spine between two laminae) 

(ii) Transforaminal (a nerve route that enters the neuroforamen from the back/side of the spine).

  • The endoscopic camera assists and guides the surgeon during the surgical operation. The surgeon next inserts a tiny camera into the targeted area of the spine via the trocar.
  • Throughout the procedure, the camera records and broadcasts real-time photographs of the surgical site onto a monitor in the surgeon’s direct vision.

Endoscopic Spine Surgery’s Advantages and Disadvantages

Any spine surgery, including ESS, has both advantages and disadvantages. That’s why you and your spine surgeon should consider and weigh the advantages and disadvantages of employing endoscopic spine surgery to correct your spinal condition.


  • Reduced skin, muscle, and soft tissue stress results in less blood loss and faster healing thanks to small surgical site incisions and hyper-targeting.
  • In addition, most ESS operations are completed in just an hour, allowing patients to return to work after a few days of recovery.


  • ESS is a high-skilled surgical procedure that is still in its infancy. As a result, only a few spine surgeons are proficient at ESS surgeries.
  • For revision surgery, apparent spinal instability, high-grade spondylolisthesis, and/or malignancy, endoscopic spine surgery is usually not advised.

Endoscopic spine surgery is a novel option because of developments in technology and technique. In the hands of a highly talented and experienced spine surgeon, the potential benefits of this extreme version of minimally invasive surgery may provide relief to patients suffering from persistent back and neck discomfort.