Full Endoscopic Spine Surgery (P-ELD/MIPSI): The Stitchless Revolution in Spine Care

By Dr. Om Patil | Endoscopic Spine Surgeon, Mumbai

What is Full Endoscopic Spine Surgery?

Full Endoscopic Spine Surgery (FESS), also known as Percutaneous Endoscopic Lumbar Discectomy (P-ELD) or Minimally Invasive Percutaneous Spine Intervention (MIPSI), is a cutting-edge, stitchless technique for treating spine disorders such as:

• Slipped disc (disc herniation)

• Sciatica

• Lumbar canal stenosis

• Foraminal stenosis

This advanced surgery is performed through a small keyhole (about 8mm) using a high-definition endoscope and specialized instruments under local anesthesia.

Why Is It Called Stitchless Spine Surgery?

Unlike conventional open spine surgeries, full endoscopic techniques involve no muscle cutting, bone removal, or major stitches. The tiny incision heals naturally, often requiring only a single adhesive strip or band-aid.

Key Advantages of Full Endoscopic Spine Surgery:

1. Stitchless & Scarless

• No visible stitches or large scars.

• Quick healing of the skin (within days).

2. Day Care Surgery

• Most patients can go home the same day or within 24 hours.

• Ideal for professionals and busy individuals.

3. Local Anesthesia

• No general anesthesia needed.

• Safer for elderly or medically unfit patients.

4. Minimal Blood Loss

• Almost bloodless procedure.

• No need for transfusion or ICU stay.

  
  

5. Early Recovery

• Return to work within 3–7 days.

• No prolonged bed rest or physiotherapy needed.

6. Muscle & Bone Preservation

• Maintains spinal stability and mobility.

• Reduces post-surgical complications.

7. Precision Targeting

• Real-time visual guidance allows accurate disc removal.

• Reduces recurrence and adjacent level damage.

Ideal Candidates for Endoscopic Spine Surgery

• Young or middle-aged patients with slipped disc and sciatica

• Elderly with canal stenosis unfit for open surgery

• Those seeking a non-invasive and fast recovery option

• Patients who failed conservative treatment like physiotherapy or injections

Conditions Treated with P-ELD/MIPSI:

Condition

Lumbar Disc Herniation: Back pain, leg pain, numbness

Lumbar Canal Stenosis : Leg heaviness, difficulty walking

Foraminal Stenosis: Shooting pain in leg, foot drop

Recurrent Disc : After previous surgery failure

Dr. Om Patil: Endoscopic Spine Surgeon in Mumbai

With advanced training in full endoscopic and stitchless spine procedures, Dr. Om Patil offers minimally invasive spine care with global standards in Mumbai.

📍 Locations: Chembur | Sion | Dadar

📞 Book Consultation: +91 9819191896

🌐 www.spinewala.com

Conclusion:

Full Endoscopic Spine Surgery is the future of spinal care—minimally invasive, maximally effective. With rapid recovery, no stitches, and local anesthesia, it offers a life-changing alternative to traditional open back surgery.