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Keyhole surgery or minimally invasive surgical interventions are surgical procedures that avoid significant cutting or retraction of muscles and therefore there is less bleeding, less need for tissue reconstruction and therefore less pain which allows patients to recover better.

Strictly speaking, the concept of keyhole surgery is constantly evolving. Less invasive techniques have already been used in Orthopedic Surgery and Traumatology for more than 40 years, with knee arthroscopies.

Origins

The idea of ​​trying to reduce soft tissue aggression in the face of any doctor’s action became popular in the US since 1990. Its drivers were vascular cardiologists and radiologists to reduce complications related to coronary artery examinations and treatments. Subsequently this idea has been expanding its applications towards foot surgery, spine surgery, arthroscopic surgery of any joint and, lately, towards the treatment of fractures.

What advantages and disadvantages does it have?

 

Advantages:

-It reduces soft tissue trauma (muscles, tendons, joint capsule…).
-Less blood loss, less pain, faster recovery: By sectioning fewer muscles, tendons or ligaments, blood loss is better controlled during prosthetic intervention.

-Postoperative pain is less, and the healing process and rehabilitation are faster.
-Better stability of the components: A prosthesis is made up of implants that are supported by muscles and tendons that surround it. With keyhole surgery, these soft tissues suffer less damage, so they can better perform the support function of the prosthetic components.
-Better aesthetic results: The size of the incision (and therefore of the scar), in a hip prosthesis implanted by arthroscopy (mini-incision) is about 7 cm, compared to 20 cm of conventional techniques.

 

Disadvantages:

On the other hand, keyhole surgery also involves some drawbacks with respect to conventional surgery: the surgeon has a more limited visualization, it is more complicated to orientate the implants (ie femoral and acetabular) and requires advanced experience in the surgical technique.

 

Can all interventions in Orthopaedics be done with keyhole surgery?

Theoretically yes. Being a recent technique, its use extends exponentially. To date, the most common procedures performed by minimally invasive techniques are in the specialty of Orthopedic Surgery and Traumatology are:

-Spine surgery (removal of disc hernias).
-Foot surgery (bunions).
-Shoulder, knee, hip, ankle, wrist arthroscopy, etc…

 

You might also want to read: What is a Lumbar Fusion?

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At the London Spine Unit, we have some of the best specialists to perform keyhole surgery. Book an appointment to see if you are suitable for keyhole surgery.

 

What is keyhole surgery?

Keyhole surgery or minimally invasive surgical interventions are surgical procedures that avoid significant cutting or retraction of muscles and therefore there is less bleeding, less need for tissue reconstruction and therefore less pain which allows patients to recover better.

What advantages does keyhole surgery provide?

-It reduces soft tissue trauma (muscles, tendons, joint capsule...). -Less blood loss, less pain, faster recovery: By sectioning fewer muscles, tendons or ligaments, blood loss is better controlled during prosthetic intervention. -Postoperative pain is less, and the healing process and rehabilitation are faster. -Better stability of the components: A prosthesis is made up of implants that are supported by muscles and tendons that surround it. With keyhole surgery, these soft tissues suffer less damage, so they can better perform the support function of the prosthetic components. -Better aesthetic results: The size of the incision (and therefore of the scar), in a hip prosthesis implanted by arthroscopy (mini-incision) is about 7 cm, compared to 20 cm of conventional techniques.

What are the disadvantages of keyhole surgery?

On the other hand, keyhole surgery also involves some drawbacks with respect to conventional surgery: the surgeon has a more limited visualization, it is more complicated to orientate the implants (ie femoral and acetabular) and requires advanced experience in the surgical technique.

 

 

 

 

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

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The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

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