Over time, surgeries have evolved to more advanced techniques that provide a precise solution for different pathologies. These advances have numerous benefits for the patient and it is necessary to be clear about what they are about and how they differ from each other. In this post, we will mainly talk about two types of minimally invasive operations: endoscopy and arthroscopy.
What is a minimally invasive operation?
Minimally invasive surgery is a surgery in which doctors apply techniques that cause less damage to the body compared to open surgery.. Open surgery involves the surgeon cutting the skin and tissues in order to observe the structures and organs involved, on the contrary, a non-invasive operation is performed with minor incisions and tiny surgical instruments.
Minimally invasive surgery is associated with less pain, a short hospital stay, and fewer complications overall. Among the main types of minimally invasive surgery they find each other:
- Endoscopy: It is an exploratory diagnostic method that works through a small camera that is introduced into the body through a natural cavity and that allows internal canals to be visualized on a screen.
- Arthroscopy: It is a technique that requires surgical incisions to insert the camera and is indicated for diagnosing and treating joint diseases.
- Robotic surgery: This variant involves an operation assisted by robotic tools and allows surgeons to perform complete procedures in a more precise, flexible and controlled manner.
Although these are the three main procedures to perform a minimally invasive operation, each surgery involves a different method and each of them is called in a specific way. For example, laparoscopy is surgery performed in the abdominal cavity, colonoscopy is what allows the large intestine to be explored, and cholecystectomy is what gallbladder surgery is called, among others.
Differences between surgeries using endoscopic and arthroscopic techniques in traumatology
Advanced minimally invasive endoscopy is a procedure that allows the doctor to see inside the patient's body through a camera (endoscope). This device is inserted through a cavity, hollow organ or opening in the body and is attached to a long, thin tube (viewing tube) that the specialist can move and guide inside the body to see the image transmitted on a screen.
The main objectives of endoscopy are:
- Have a detailed view of the affected organs.
- Accurately diagnose infections.
- Treat and prevent diseases.
- Perform surgery at a specific point.
- Generate less damage from the operation to the patient
- Shorten the patient's time in the hospital
Different types of endoscopy can be identified depending on the area of the body in which it is performed. Some of these are:
- Arthrocospy: joint endoscopy
- Bronchoscopy: endoscopy of the lungs
- Colonoscopy: large intestine endoscopy
- Ureteroscopy: endoscopy of the urinary system
- Anoscopy: endoscopy of the anus
- Esophagogastroduodenoscopy (EGD): endoscopy of the esophagus, stomach and first part of the small intestine
- Laparoscopy: endoscopy of the abdomen or female reproductive system
- Laryngoscopy: endoscopy of the larynx
- Nasal endoscopy: inside the nose and paranasal sinuses
There is different tools used during an endoscopy. The first and main is the optical system (the camera), called the endoscope. These are thin tubes with a powerful light source and a tiny camera at the end. Depending on the part of the body to be invaded, the endoscope can have different extensions and flexibility. For example, while in a colonoscopy the endoscope is flexible, in a laparoscopy it is rigid.
In addition, an endoscope generally has a channel through which the surgeon inserts tools in order to collect tissue or provide appropriate treatment. The flexible forceps are those that help extract tissue samples, the cytological brush is the one that takes cell samples, and there are other suture extraction forceps.
Pathologies that can be treated by surgery with endoscopy
As we have mentioned, the benefits of endoscopy are several, but above all, the most notable thing is that helps treat different pathologies effectively. In principle, endoscopy was performed only in the esophagus, but with technological advances the mechanism began to be used in other areas of the body. Thanks to endoscopy, different diseases can currently be detected, diagnosed and treated.
Generally speaking, doctors use the method of endoscopy to treat different diseases of the ear, nose, throat, heart, urinary tract, joints and abdomen. Gastrointestinal endoscopy alone, to name one example, can treat different pathologies such as gastroesophageal reflux, obstructions, inflammation, ulcers, celiac disease, Barrett's esophagus or stomach cancer, among others.
Treatment of injuries by minimally invasive arthroscopic techniques
An arthroscopic operation, that is, a minimally invasive surgery that treats pathologies in the joints of the body, only requires one or two small incisions to introduce the camera (arthroscope). There are different types of arthroscopy:
- knee arthroscopy
- Shoulder arthrocospy
- Hand and wrist arthroscopy
- hip arthroscopy
- Ankle arthroscopy
The benefits of arthroscopic surgery treatment are notable compared to open surgery.to. Thanks to the camera and lighting, the surgeon can observe each joint completely and in detail. Additionally, the risk of complications from arthroscopy is minimal. Not only does the fact that the incisions are small generate a better aesthetic result, but it also makes the hospital stay shorter. Many times the patient can even return home the same day as the surgery.
Pathologies treated with arthroscopy include the presence of loose bone fragments, broken or damaged cartilage, inflammation in the joint linings, torn ligaments and scars. For example, a arthroscopy meniscus operation or arthroscopic meniscectomy It allows meniscus injuries to be repaired without having to open the knee and lasts approximately 30 minutes.
Having a team of professionals who guarantee safe medical treatment is very important for health. In Elgeadi Traumatology We make a prior diagnosis and provide the patient with personalized treatment for the present pathology. Book a private appointment here with our team of traumatologists experts in endoscopy and arthroscopy.
4 thoughts on “Técnicas quirúrgicas mínimamente invasivas: la endoscopia y la artroscopia”
The information is very detailed, my case, in September 2021 doing pull-ups I injured my suprascapular nerve, to reach that conclusion, I have gone through several physios, infiltrations of all kinds and pain combinations, where I am on medications, the MRI of shoulder and scapula is normal, but the electromyographic report is overwhelming chronic denervation of the supra and infraspinatus muscles referring to the suprascapular nerve, in a video the release of the suprascapular nerve, a traumatologist told me that sometimes MRIs do not shed light but what The report says it could be due to a paralabral cyst or some stiffness in the nerve there and I will not recover and an arthroscopy to look at what is there would be very good although I can't expect almost anything in about 2 years, on the other hand another doctor tells me that a spinal neurostimulation to the scapula would help me, the thing is that I'm screwed, here in Malaga the traumatologists are more specialized in tendons and muscles and not in peripheral nerves, I no longer have a life, great doctor Elgeadi, I follow you YouTube, greetings
Hello Francisco,
If other diagnostic options are exhausted, an arthroscopy to check the nerve and its release would not be a bad idea.
All the best.
Hello again friends, on July 4 I had an arthroscopy to release the suprascapular nerve, the thing is that no one knew what was happening to me, the scapula and shoulder MRI did not shed any light, but a recent electromyography report said chronic denervation of the supra and infraspinatus muscles, referring to the suprascapular nerve and had also lost. My mobility of my arm, an old dog traumatologist seeing my ordeal and the few tests that I had since September 2021, told me to prepare for the operating room and the diagnosis was the operation, the injury was the hardest that they have found.
Location of ac, ac ligaments to snail base, medial dissection observing ossification of the transverse ligament of the scapula with enormous thickness causing enormous compression to the suprascapular nerve, carrying out partial section of the bone foramen, checking the integrity of the coracoclavicular and suprascapular artery, cleaning of 80% because it compromised the artery, I went to several traumatologists who, upon seeing the normal MRI, told me to go to the physio or the pain unit without having any idea that it was really screwed up, I don't know if I'm going to recover that nerve because the pain
It continues after 22 months and I don't know if I will live again, they have done their job but I have gone late to people who know, the diagnosis operates as it was done before, no infiltrations and quarters, now my question is whether that nerve does not stop pain that remains, there are nerves that undergo nerve or tendon transfers, this has been a decompression and we will see that there
The point is that I am at a standstill, because I don't know if this will help or if it will be necessary to do nerve transfers or release that 20% that is compressed without compromising the suprascapular artery where they have not been able to access, according to what they have not recognized one of the injuries. rare or difficult things that have been encountered in many years, the reason is some damn pull-ups, my case is terrifying friends, any idea if this doesn't improve because at 51 years old living with chronic pain is the end, a hug
Hello Francisco, please make an appointment with us through our website so we can study the case in detail, okay? A hug