What is Unilateral Biportal Endoscopy, and how does it differ from other endoscopic techniques?
Unilateral Biportal Endoscopy is a minimally invasive surgical technique used in spinal procedures, particularly for decompression and treatment of various spinal pathologies. The surgery is performed through a single-sided approach, using two separate portals or working channels.
Here are key features that distinguish Unilateral Biportal Endoscopy from other endoscopic techniques:
Surgical Approach:
Unilateral Approach: Unlike traditional endoscopic techniques, which may involve a midline or bilateral approach, Unilateral Biportal Endoscopy is characterized by accessing the spinal structures through a single-sided approach. This often involves creating two separate portals on one side of the spine.
Number of Portals:
Dual Portals: One of the distinctive features is the use of two separate portals or working channels. These portals are strategically placed to allow for a triangulated view and enhanced maneuverability during the procedure.
Instrumentation:
Specialized Instruments:
Unilateral Biportal Endoscopic Surgery Instrument are designed to navigate through the portals while providing visualization and access to the targeted spinal structures. These instruments may include endoscopes, graspers, forceps, shavers, and other specialized tools.
Decompression and Treatment:
Focused Decompression: The technique is commonly employed for spinal decompression procedures, addressing conditions such as herniated discs, spinal stenosis, and other pathologies causing nerve compression. The unilateral approach allows surgeons to precisely target and treat specific areas of concern.
Visualization Technology:
Endoscopic Visualization: Similar to other endoscopic procedures, Unilateral Biportal Endoscopy relies on endoscopic visualization technology. High-definition cameras and light sources are used to provide a clear view of the surgical field, aiding in precision and accuracy.
Minimally Invasive Nature:
Minimized Tissue Disruption: The unilateral and dual-portal approach contributes to the minimally invasive nature of the technique. By accessing the spine through a smaller incision on one side, the surgery aims to minimize tissue disruption, reduce blood loss, and promote quicker patient recovery compared to traditional open procedures.
Advantages:
Preservation of Midline Structures: By utilizing a unilateral approach, midline structures such as the spinous process and interspinous ligaments can be preserved. This preservation may result in reduced postoperative pain and a more rapid recovery.
Patient Outcomes:
Reduced Muscle Trauma: The unilateral approach is intended to minimize muscle trauma on one side of the spine, potentially leading to reduced postoperative pain and a faster return to normal activities for patients.