An approach to planning surgery
Minimally invasive surgery includes different approaches intended to limit the disruption of tissues needed to reach the treatment area. The technique is chosen after defining the problem and the goal of surgery.
What “minimally invasive” means
It describes how the affected area is reached and treated. Depending on the procedure, it may involve endoscopic, microsurgical or percutaneous techniques. A small incision alone does not describe the complexity of an operation or the recovery it requires.
Which conditions I assess
This approach may form part of treatment for disc problems, nerve compression and selected cases of cervical or lumbar instability. Each diagnosis requires us to define whether the aim is decompression, stabilisation or both.
Decompression or stabilisation, depending on the diagnosis
Some conditions require relief of pressure on a nerve structure. In others, spinal instability may require consideration of stabilisation. I review the tests and clinical context to explain which option is justified and why.
Planning comes before technique
I review imaging and medical history, including previous operations, alongside the examination and general health. If information that could change the decision is missing, we consider further assessment. I explain why I propose a technique and when another approach may be preferable.
A proposal tailored to the person
Before recommending an operation, we consider non-surgical alternatives and the response to previous treatments. If surgery is proposed, we clarify what it aims to improve, its limitations and risks, and the requirements for follow-up and recovery.
What to expect afterwards
Recovery depends on the condition treated, whether stabilisation was needed and your previous circumstances. We discuss pain control, daily activities, rehabilitation when indicated and returning to work. The aim is a clear plan that can adapt to your progress.
