YESS Selective Endoscopic Discectomy™

Overview
This minimally-invasive procedure is performed through a small tubular device. It is designed to relieve pain caused by herniated discs pressing on nerve roots. The surgery is performed under local or epidural anesthesia, allowing the patient to leave the hospital the same day
Guide Wire Inserted
After the disc protrusion is confirmed, a guide wire is inserted to the affected disc. The surgeon uses a special type of x-ray machine called a fluoroscope to ensure that the route to the herniated disc is made in the correct location.
Obturator Inserted
A two-hole obturator tube is passed over the guide wire to push apart the tissue down to the disc and to move the nerve root out of the way. Painful tissue in the path of the obturator may be anesthetized.
Working Sleeve Inserted
The working sleeve, through which the surgery will be performed, is slid over the dilating tube. It is positioned on the disc surface. The guide wire and dialator are then removed.
Endoscope Inserted
An endoscope (which contains a surgical light and small camera) is placed through the tube, allowing the surgeon to view the annulus, disc, and epidural space on a video monitor. The surgeon will use the endoscope to guide the surgical tools and inspect the results.