Micro Endoscopic Surgery (MES)

Micro Endoscopic Surgery has a long history. The procedure is performed by entering the skin through a small incision or by a body cavity. The doctor may insert a small tube through the incision. The procedure may require one or more incision according to the type of surgery. The inserted tube will help the doctor to see through the organ as it connects to big screens or cameras. The main goals of the procedure are to make less damages to the structures and at the same time, achieve the best result as through an open surgery. Everything has both positive and negative sides. Micro Endoscopic Surgery has negative sides too. The advantages and disadvantages of Micro Endoscopic Surgery can be listed like:


  • Less pain
  • Less blood loss
  • Minor chance for trauma
  • Less expensive
  • Shorter duration of hospital day
  • Smaller skin scars


  • Specially trained and skilled professionals required
  • Need special equipment
  • Can be complicated
  • The procedure may take time to finish

Who is a best candidate for the procedure?

Micro Endoscopic Surgery is not suitable for all patients. People who face issues such as raised body mass index, who had an abdominal surgery before, who is suffering from other medical condition etc. are not suitable for Micro Endoscopic Surgery.

Procedures that use Micro Endoscopic Surgery

There are lot of medical conditions which are treated using Micro Endoscopic surgeries. Dr Manish Vaish is an expert in neurosurgery. Micro Endoscopic techniques are used for procedures such as:

  • Carotid angioplasty
  • Radiosurgery for brain tumors
  • Removal of pituitary tumors
  • Treatment of intracranial aneurysm etc.

Micro Endoscopic Techniques used spine procedures may include:

  • Vertebroplasty
  • Disc surgery
  • Foraminotomy
  • Pedicle screws and interbody fusion etc.

Risks and complications involved:

  Micro Endoscopic procedures are said to have less complications when compared to other open surgeries. But, it may have possible complications of other normal surgeries such as:

  • Anesthetic risks
  • Infection
  • Bleeding
  • Shoulder pain
  • Damage to organs
  • Thromboembolic disease etc.