What is UBE?
Endoscopic surgery is a surgical procedure performed by drilling a small hole and using advanced imaging systems for the treatment of disease occurring anywhere in the body. During this surgical procedure, the patient area is moved to the screen with the image systems and the visual field is enlarged by using advanced lens systems. The mentioned surgical procedure is also known as "closed surgery" among the people. Among the operations performed using the endoscopic method, endoscopic spine operations are also included.
Unilateral Biportal Endoscopic (UBE) spine surgery overcomes the limitation of central canal stenosis, lateral canal stenosis and foraminal stenosis due to a wide range of access angles resulting in effective circumferential and focal decompression of the spinal canal without damage to the structural integrity of the spine with preservation of muscular and ligamentous attachments this approach through the spatium intermuscular and preserves the medial branch of the dorsal ramus thereby preventing distraction injury. This endoscopic approach allows for accessing the foramen both from the contralateral side posteriorly and the extra foraminal side (paraspinal extraforaminal approach) just giving flexibility to treating all types of stenosis. UBE is useful in patients of instability lysis and lysthesis as a minimal access fusion approach.
Endoscopic intervention; It is also used in stomach, gall bladder, gynecology, ENT and urology surgeries. In addition, it has been used in neurosurgery after the 1990s. Again, endoscopic surgery is increasingly preferred in spinal diseases. Neck hernia surgeries can be performed with endoscopic surgery, especially with newly developed techniques. On the other hand, endoscopic microsurgery is used in lumbar hernia surgeries and widening of the grooves where the nerves exit the spine.