Minimally Invasive Surgery

Minimally invasive surgery aims at minimising tissue damage to improve the recovery and the surgical outcome. Their other benefits of minimally invasive surgery include:

  • Less blood loss
  • Less pre-operative pain
  • Less scarring
  • Shorter hospital stay

Most minimally invasive procedures are performed under local anaesthesia or regional block with sedation. This has the additional advantage of preventing complications due to general anaesthesia. The surgery is performed through one or more small incisions, about 1cm long. A thin, pencil-thick, instrument with a tiny camera and light source is inserted through one of the incisions that transmit the images of the surgical area on a monitor. Special surgical instruments, used to cut, shave, remove tissue or bone are inserted through the other incisions. This coupled with the use of an operating microscope, and other imaging modalities (for guidance) enhances the surgeon's precision, reduces the surgical trauma and improves the outcome of the procedure.

Minimally invasive surgery can be used for various orthopaedic procedures that include:

  • Removal of scar tissue, loose bodies, bone spurs, inflamed synovial membrane and cartilage
  • Treatment of cartilage damage, ligament tear, fracture, dislocations and joint instability
  • Joint reconstruction

NICE guidance on minimally invasive bunion surgery

  • Medical Protection Society
  • General Medical Council
  • British Orthopadeic Association
  • American Orthopaedic Foot Ankle
  • Bofas