Transforaminal Decompression & Deherniation

Disc herniation and spinal stenosis are common health problems worldwide. Endoscopic spinal surgery has been proven to be a good alternative to conventional surgical methods for a variety of spinal conditions.

Endoscopic spinal treatment –
working towards a new “gold standard”

Endoscopic procedures offer a multitude of advantages over microscopic and open spinal procedures. Smaller incisions and less removal of bone tissue from the facet joint results in less soft tissue trauma as well as less risk of destabilization. Additionally, lower blood loss and lesser post-operative pain make endoscopy the next gold standard.

Advantages of endoscopy

  • Lower risk of destabilization
  • Less soft tissue trauma
  • Less blood loss
  • Less postoperative pain
  • Possible under local anesthesia
  • Faster patient recovery
Anwendungsbereich-Transforaminal

Transforaminal endoscopic access

The TESSYS® method – with access through the intervertebral foramen – is a widely used spinal endoscopy technique and has been shown to be an exceptionally patient-friendly procedure with few complications1.

The access route passes through the Kambin’s triangle which is bordered by the exiting nerve root, endplate of the lower vertebra, and traversing nerve root. The triangle is free of supporting structures and nerve tissue, providing a safe zone for endoscopic access to pathologies within the spinal canal. Herniations, sequestered disc tissue and hypertrophic tissue can be removed under direct visualization by the instruments passing through the endoscope working channel.

Almost all types of disc herniations can be treated with TESSYS®2. Radicular symptoms caused by herniated discs that have not improved with conservative treatment are indications for surgery with the TESSYS® surgical approach. Cauda equina syndrome requires immediate surgical treatment. Every surgical procedure on a spinal disc must be planned carefully using Magnetic Resonance Imaging (MRI) and/or Computed Tomography (CT), and conventional X-ray images.

Selected indications for the
transforaminal method (TESSYS®)

  • Herniated discs
  • Spinal stenosis
  • Degenerative disease of ligamentum flavum
  • Cauda equina syndrome
  • Dorsal facet joint cysts

The TESSYS® Family

Learn more about our various transforaminal OR systems

Endoscopic spinal treatment – working towards a new “gold standard”

Endoscopic procedures offer a multitude of advantages over microscopic and open spinal procedures. Smaller incisions and less removal of bone tissue from the facet joint results in less soft tissue trauma as well as less risk of destabilization. Additionally, lower blood loss and lesser post-operative pain make endoscopy the next gold standard.

Advantages of endoscopy

  • Lower risk of destabilization
  • Less soft tissue trauma
  • Less blood loss
  • Less postoperative pain
  • Possible under local anesthesia
  • Faster patient recovery

Transforaminal endoscopic access

The TESSYS® method – with access through the intervertebral foramen – is a widely used spinal endoscopy technique and has been shown to be an exceptionally patient-friendly procedure with few complications1.

Anwendungsbereich-Transforaminal

The access route passes through the Kambin’s triangle which is bordered by the exiting nerve root, endplate of the lower vertebra, and traversing nerve root. The triangle is free of supporting structures and nerve tissue, providing a safe zone for endoscopic access to pathologies within the spinal canal. Herniations, sequestered disc tissue and hypertrophic tissue can be removed under direct visualization by the instruments passing through the endoscope working channel.

Almost all types of disc herniations can be treated with TESSYS®2. Radicular symptoms caused by herniated discs that have not improved with conservative treatment are indications for surgery with the TESSYS® surgical approach. Cauda equina syndrome requires immediate surgical treatment. Every surgical procedure on a spinal disc must be planned carefully using Magnetic Resonance Imaging (MRI) and/or Computed Tomography (CT), and conventional X-ray images.

Selected indications for the
transforaminal method (TESSYS®)

  • Herniated discs
  • Spinal stenosis
  • Degenerative disease of ligamentum flavum
  • Cauda equina syndrome
  • Dorsal facet joint cysts

The TESSYS® Family

Learn more about our various transforaminal OR systems

Endoscopic spinal treatment – working towards
a new “gold standard”

Endoscopic procedures offer a multitude of advantages over microscopic and open spinal procedures. Smaller incisions and less removal of bone tissue from the facet joint results in less soft tissue trauma as well as less risk of destabilization. Additionally, lower blood loss and lesser post-operative pain make endoscopy the next gold standard.

Advantages of endoscopy

  • Lower risk of destabilization
  • Less soft tissue trauma
  • Less blood loss
  • Less postoperative pain
  • Possible under local anesthesia
  • Faster patient recovery

Transforaminal endoscopic access

The TESSYS® method – with access through the intervertebral foramen – is a widely used spinal endoscopy technique and has been shown to be an exceptionally patient-friendly procedure with few complications1.

The access route passes through the Kambin’s triangle which is bordered by the exiting nerve root, endplate of the lower vertebra, and traversing nerve root. The triangle is free of supporting structures and nerve tissue, providing a safe zone for endoscopic access to pathologies within the spinal canal. Herniations, sequestered disc tissue and hypertrophic tissue can be removed under direct visualization by the instruments passing through the endoscope working channel.

Anwendungsbereich-Transforaminal

Almost all types of disc herniations can be treated with TESSYS®2. Radicular symptoms caused by herniated discs that have not improved with conservative treatment are indications for surgery with the TESSYS® surgical approach. Cauda equina syndrome requires immediate surgical treatment. Every surgical procedure on a spinal disc must be planned carefully using Magnetic Resonance Imaging (MRI) and/or Computed Tomography (CT), and conventional X-ray images.

Selected indications for the transforaminal method (TESSY®)

  • Herniated discs
  • Spinal stenosis
  • Degenerative disease of ligamentum flavum
  • Cauda equina syndrome
  • Dorsal facet joint cysts

The TESSYS® Family

Learn more about our various transforaminal OR systems

Endoscopic spinal treatment – working towards a new “gold standard”

Endoscopic procedures offer a multi-
tude of advantages over microscopic and open spinal procedures. Smaller incisions and less removal of bone tissue from the facet joint results in less soft tissue trauma as well as less risk of destabilization. Additionally, lower blood loss and lesser post-operative pain make endoscopy the next gold standard.

Advantages of Endoscopy

  • Lower risk of destabilization
  • Less soft tissue trauma
  • Less blood loss
  • Less postoperative pain
  • Possible under local anesthesia
  • Faster patient recovery
Anwendungsbereich-Transforaminal

Almost all types of disc herniations can be treated with TESSYS®2. Radicular symptoms caused by herniated discs that have not improved with conservative treatment are indications for surgery with the TESSYS® surgical approach. Cauda equina syndrome requires immediate surgical treatment. Every surgical procedure on a spinal disc must be planned carefully using Magnetic Resonance Imaging (MRI) and/or Computed Tomography (CT), and conventional X-ray images.

Selected indications for the
transforaminal method (TESSY®)

  • Herniated discs
  • Spinal stenosis
  • Degenerative disease of ligamentum flavum
  • Cauda equina syndrome
  • Dorsal facet joint cysts

The TESSYS® Family

Learn more about our various transforaminal OR systems

Disclaimers

Certain products may not be approved for sale in all countries.

Bibliography

  1. Gibson, J. N. Alastair, Jonathan G. Cowie and Menno Iprenburg. “Transforaminal Endoscopic Spinal Surgery: The Future ‘gold Standard’ for Discectomy? – A Review.” The Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 10, no. 5 (October 2012): 290-96. https://doi.org/10.1016/j.surge.2012.05.001.
  2. Wagner, Ralf and Monika Haefner. “Indications and Contraindications of Full-Endoscopic Interlaminar Lumbar Decompression.” World Neurosurgery 145 (January 2021): 657-62. https://doi.org/10.1016/j.wneu.2020.08.042.

Bibliography

  1. Gibson, J. N. Alastair, Jonathan G. Cowie and Menno Iprenburg. “Transforaminal Endoscopic Spinal Surgery: The Future ‘gold Standard’ for Discectomy? – A Review.” The Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 10, no. 5 (October 2012): 290-96. https://doi.org/10.1016/j.surge.2012.05.001.
  2. Wagner, Ralf and Monika Haefner. “Indications and Contraindications of Full-Endoscopic Interlaminar Lumbar Decompression.” World Neurosurgery 145 (January 2021): 657-62. https://doi.org/10.1016/j.wneu.2020.08.042.

Bibliography

  1. Gibson, J. N. Alastair, Jonathan G. Cowie and Menno Iprenburg. “Transforaminal Endoscopic Spinal Surgery: The Future ‘gold Standard’ for Discectomy? – A Review.” The Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 10, no. 5 (October 2012): 290-96. https://doi.org/10.1016/j.surge.2012.05.001.
  2. Wagner, Ralf and Monika Haefner. “Indications and Contraindications of Full-Endoscopic Interlaminar Lumbar Decompression.” World Neurosurgery 145 (January 2021): 657-62. https://doi.org/10.1016/j.wneu.2020.08.042.

Bibliography

  1. Gibson, J. N. Alastair, Jonathan G. Cowie and Menno Iprenburg. “Transforaminal Endoscopic Spinal Surgery: The Future ‘gold Standard’ for Discectomy? – A Review.” The Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 10, no. 5 (October 2012): 290-96. https://doi.org/10.1016/j.surge.2012.05.001.
  2. Wagner, Ralf and Monika Haefner. “Indications and Contraindications of Full-Endoscopic Interlaminar Lumbar Decompression.” World Neurosurgery 145 (January 2021): 657-62. https://doi.org/10.1016/j.wneu.2020.08.042.

Integrated intelligent navigation –
Everything from a single source

NAVENTO® – The fully integrated, new generation endoscopic navigation tower for the whole range of applications. It offers the complete package with latest technology and coordinated functionalities of all devices.

This enables the user to master endoscopic spinal surgery in all its diversity and offers growth potential for the expansion of skills and indications.

NAVENTO® knows no boundaries!

NAVENTO Endoscopic Device Tower

Integrated intelligent navigation – Everything from a single source

NAVENTO® – The fully integrated, new generation endoscopic navigation tower for the whole range of applications. It offers the complete package with latest technology and coordinated functionalities of all devices.

This enables the user to master endoscopic spinal surgery in all its diversity and offers growth potential for the expansion of skills and indications.

NAVENTO® knows no boundaries!

NAVENTO Endoscopic Device Tower

Integrated intelligent navigation – Everything from a single source

NAVENTO® – The fully integrated, new generation endoscopic navigation tower for the whole range of applications. It offers the complete package with latest technology and coordinated functionalities of all devices.

This enables the user to master endoscopic spinal surgery in all its diversity and offers growth potential for the expansion of skills and indications.

NAVENTO® knows no boundaries!

NAVENTO Endoscopic Device Tower

Contact

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Do you have any questions regarding joimax® solutions?
Feel free to contact us!

Application Areas

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EndoTrainer® Plus

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With the joimax® EndoTrainer® Plus, the transforaminal and the interlaminar surgical techniques can be trained directly at your hospital site.