Laser disc surgery: what is it and is it safe?

Written by: Mr John Yeh
Published:
Edited by: Conor Lynch

Top Doctors recently spoke to highly esteemed consultant neurosurgeon and spinal surgeon, Mr John Yeh, to quiz him on what exactly laser disc surgery entails, the main risks involved, and what the main difference is between laser disc surgery and traditional surgery.

What is laser disc surgery?

It is a needle-based type of surgery that is performed as a day-case procedure. It is usually done under sedation, and can also be done under general anaesthetics. During the procedure, a needle is placed into the diseased disc very carefully and safely.

 

A fine laser fibre is then passed down the needle and into the disc. Then, the laser vaporises a small volume of this material, and reduces the pressure inside the disc.

 

Why might people need laser disc surgery?

Laser disc surgery is not suitable for all slipped hernia or slipped prolapse discs. However, it is an extremely reasonable alternative to traditional disc surgery for the majority of the most common of slipped hernia disc injuries or prolapsed discs.

 

What is the difference between laser disc surgery and traditional disc surgery?

Laser disc surgery is a needle-based surgical intervention. The risks of this surgery, are, therefore, much lower than traditional disc surgery, with a much shorter recovery time. Laser disc surgery also avoids causing scar tissue.

 

How effective is laser disc surgery?

Laser disc surgery is approved by the National Institute for Healthcare Excellence. Studies have shown that up to 75 per cent of patients find laser disc surgery to be extremely effective and helpful.

 

What are the main risks of laser disc surgery?

There is, of course, like any surgery, a very small risk of infection. However, this can, in almost all cases, be avoided when laser disc surgery is performed. The tip of the needle can sometimes bruise the tissues, which thankfully resolves in a few days.

 

What is recovery from laser disc surgery like? Is it painful and how long is the recovery period?

Very occasionally, the disc tissue may react with the laser and can become inflamed and painful, which takes a few weeks to settle. Overall, though, recovery time is quick, with little to no pain experienced in most cases.

 

Mr John Yeh is a highly accomplished London and Buckhurst Hill-based consultant neurosurgeon and spinal surgeon. Check out his Top Doctors profile today to book a consultation with him. 

By Mr John Yeh
Neurosurgery

Mr John Yeh is a Consultant Neurosurgeon and Spinal Surgeon based in London and Essex, specialising in back and neck pain, arm pain, sciatica, spinal injections, osteoporotic spinal fractures, kyphoplasty, laser disc surgery and keyhole spinal surgeries. He works for the BMI The London Independent Hospital, Highgate Private Hospital and The Holly Private Hospital and has significant NHS experience as a former departmental head, complex spine lead consultant and senior clinical lecturer.

Mr Yeh, who also has subspecialty interests in spinal lesions and spinal cord regeneration, is one of a small number of specialists in the UK who has expertise in the laser spinal disc procedures. He prides himself in a minimally-invasive ethos in his practice. He believes that many spinal conditions can be managed effectively without resorting to surgery. He believes that surgery should be as minimally invasive as possible for shorter recovery time and minimal post-operative pain.

Mr Yeh's esteemed career has seen him in top positions and he was senior clinical lecturer at the Queen Mary University of London. He also was a Consultant Neurosurgeon and Spinal Surgeon at St Bartholomew's and The Royal London Hospitals from 2003 to 2013. Here, he was the lead for complex spine surgery and the head of the Neurosurgery Department for two years. 

Mr Yeh's education reflects his impressive career achievements. He graduated from Cambridge University in 1987 and following his honours degree there, he also achieved a MB BChir, MA and MD from the globally-renowned institution as well as a doctorate degree in spine.     

Furthermore, Mr Yeh is a PhD examiner at King's College and Imperial College University of London and is a member of various professional organisations including British Medical Association (BMA) and the Royal College of Surgeons (Edinburgh).

His research interests include biomaterials, spinal biomechanics and minimally invasive spinal surgery. Mr Yeh's work has been published widely in peer-reviewed journals and book chapters. In addition, Mr Yeh has won several awards and delivered oral and poster presentations at local, national and international meetings. 

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