Tips On Selective Endoscopic Disectomy: The YESS Technique
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- Create Date April 13, 1999
Since 1991, as I gained experience with arthroscopic micro-discectomy, a procedure ﬁrst described by Parviz Kambin, M.D., I have gradually treated an ever increasing spectrum of disc herniations previously thought to be beyond the scope of AMD. I would like to share a few tips on the techniques I now use which allow me to routinely perform a targeted posterior fragmentectomy, remove very large herniations, and extract far lateral extruded extra foraminal herniations.
I have chosen to call my technique selective endoscopic discectomy. Utilizing the new Yeung Endoscopic Spine Scope System (YESS), it is now also possible to perform foraminoplasty with trephines, rasps, burrs, and micro osteotomes. Many of these tips are only for advanced arthroscopists who have become comfortable and successful with central nucleotomies and broadbased disc protrusion