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Operating techniques
About the treatment
Endoscopy
Procedure
Endoscopic surgery for herniated cervical discs is an innovative, minimally invasive technique. It involves inserting a miniature camera and specialized instruments through a 1 cm incision in the neck. The endoscope enables direct and precise visualization of the herniated disc, facilitating its removal while preserving the surrounding structures.
A foraminotomy can be performed if necessary, to widen the passage of compressed nerves and improve their decompression. This approach enables faster recovery and considerably reduces post-operative pain.
Steps and Benefits
- Effective nerve decompression to relieve neck and radiating pain.
- Less bleeding and minimal scarring thanks to a smaller incision.
- Outpatient procedure, with same-day return home.
- Maximum tissue preservation and reduced post-operative risks.
- Faster recovery, with resumption of daily activities within a few weeks.
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Hospitalisation
Endoscopic surgery: Ambulatory, get up after 2-3 hours.
When you return to your room, a physiotherapist will help you get up for the first time.
Back home
Endoscopic surgery: Same day.
Return home by private car or taxi/VSL.
Post-operative care
Symptom monitoring and pain management with analgesics if necessary.
No nursing care required, no dressings or staples.
Back to school or back to work
Return to normal life within 2 to 6 weeks, depending on professional activity.
Rehabilitation / Physiotherapy
Start: 2 to 4 weeks after surgery.
Duration: 1 to 3 months, depending on recovery. Rythm: At least 2 weekly sessions (30-60 min), ideally 3, with daily exercises.
Nature: Pain-relieving physiotherapy, muscle strengthening, relaxation, posture.
No need for cervical collar except in special cases.
Neurological complications: Less than 5%.
The risk of neurological aggravation exists, but remains below 5%. It may include neuropathic pain, temporary muscle weakness or, in rare cases, partial or complete paralysis. This risk is linked to the proximity of the nerve structures manipulated during the operation.
Infection: Less than 1%
Post-operative infection is rare, with a rate of less than 1%. It may involve the scar or, more rarely, the depth of the surgical site. In the event of infection, a return to the operating room may be necessary for thorough cleaning and appropriate antibiotic treatment. Chronic or late infections may require a repeat operation to remove or replace an implant.
Hemorrhagic complications
Significant bleeding may occur during or after the procedure, although this is exceptional. In the event of significant bleeding, a blood transfusion may be required. A post-operative compressive hematoma (exerting pressure on the nerves) may cause pain or neurological deficit, sometimes necessitating emergency revision surgery.
Breche Durale
The dura mater, the membrane surrounding the nervous system, may be accidentally perforated during surgery. If this happens, a repair is carried out immediately. The patient must remain lying down for 48 hours after the operation to limit the risk of cerebrospinal fluid leakage, which may require prolonged hospitalization.
Risk of recurrence of cervical disc herniation: 5 to 10%.
Although the aim of the operation is to remove the hernia and free the compressed nerves, there is an estimated 5-10% risk of recurrence. Recurrence may occur at the same level as the operation, or on another cervical disc. In the event of symptomatic recurrence, further surgery may be considered, depending on the clinical course.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
