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Updated: Aug 15, 2026
A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations
Published on: August 7, 2018
How I do it? Endoscopic discectomy using a new trocar "Endospine Plus" for lumbar prolapsed intervertebral disc
Satnam Singh Chhabra1, Divyam Sharma2, Anshul Gupta3
1Department of Neurosurgery, Sir Ganga Ram Hospital, New Delhi, India. drchhabra@hotmail.com.
Background:
Endoscopic spine surgery is a promising minimally invasive technique and use of trocars like Metrx (Neurosurgery 51(5):S129-36, 2002), Destandau (Neurol Res 21:39-42, 1999), and Easy go (Acta Neurochir (Wien) 151:1027‑33, 2009) has revolutionized this field. However, the steep learning curve makes this procedure elusive to many parts of the world.
Methods:
The authors describe the technique of pure endoscopic discectomy using a specialized trocar devised by the senior author "Endospine Plus" which makes the technique easy to learn along with the advantages and complications of the procedure.
Conclusions:
Endoscopic lumbar discectomy is a safe and effective technique for the treatment of prolapsed intervertebral disc.
