Endoscopic Discectomy vs. Microdiscectomy – Which One Is for You?

When it comes to relieving nerve pain caused by herniated discs, patients often face a crucial question: Which surgery is better for me – Endoscopic Discectomy or Microdiscectomy? At Dr. Rami Hamed Center (DRHC) Dubai, we aim to provide clear, expert-backed answers to help you make the best decision for your spine health.

What's the Difference?

Endoscopic Discectomy

A minimally invasive procedure that uses a small tubular system and a camera (endoscope) to remove herniated disc material. The incision is typically less than 1cm, and the recovery time is often shorter.

Key Features:

• Performed under local anesthesia (in many cases)
• Small incision and minimal muscle disruption
• Faster return to daily activities
• Often done as a day case (no hospital stay)

Microdiscectomy

A slightly more invasive but still conservative surgery. The surgeon uses a microscope to view the disc and remove herniated material through a small incision (about 2–3 cm).

Key Features:

• General anesthesia is typically required
• Slightly larger incision and more soft tissue exposure
• High success rate for large or complex herniations
• Short hospital stay (1–2 days typically)

Which One Is Right for You?

According to Dr. Rami Hamed, the choice between the two depends on several important factors:

Endoscopic Discectomy May Be Ideal If You:

• Have a contained disc herniation
• Want a quick recovery with minimal downtime
• Prefer local anesthesia
• Are active and looking to return to work/sports quickly
• Have minimal spine instability

Microdiscectomy May Be More Suitable If You:

• Have a larger or migrated disc fragment
• Suffer from severe nerve compression or spinal stenosis
• Require better visualization for complex disc issues
• Don’t mind a slightly longer recovery period

What to Expect: Decision-Making with DRHC

When you visit DRHC Dubai Spine Center, you’ll receive:

• A thorough MRI and clinical evaluation
• Personal consultation with Dr. Rami Hamed
• A customized treatment plan based on your condition and lifestyle
• Honest advice on what will give you the best long-term outcome

“We never rush into surgery. Conservative care is always our first approach unless surgery becomes clearly necessary,” – Dr. Rami Hamed

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