Maria Cecilia Hospital

For the first time in Italy, herniated discs have been treated with the ultra-minimally invasive Unilateral Biportal Endoscopy (UBE) technique at the Maria Cecilia Hospital in Cotignola (Ravenna). This innovative surgical approach was introduced to Italy through collaboration between the leading medical device provider, surgical instrument manufacturer, and generator with dedicated probes, who developed this specific surgical technique.

On 28 July 2022, Dr. Lechanoine, one of the leading neurosurgeons, treated three different patients aged 17, 24, and 67 who were suffering from herniated discs using the UBE technique. This endoscopic surgical technique for spinal surgery provides double access to the area to be treated through two small incisions – one for the endoscope and the other for the surgical instruments needed to complete the procedure. Using the UBE technique offers a viable alternative to both open surgery and the existing single-access endoscope technique.

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Using two accesses to the site to be treated, the surgeon has a better view of the vertebral and neurological structures, providing numerous advantages for the patient, such as significantly faster recovery and reduced post-operative pain. These benefits result from the preservation of muscular structures by passing through them without damage. Additionally, risks associated with the operation are reduced compared to traditional surgical techniques, including lower risk of infection and less bleeding.

In conclusion, UBE represents an advantageous advancement in the field of spinal surgery. It transforms traditional surgical concepts, introduces innovative operative methods, enables clinicians to perform high-precision operations. It also offers patients significant advantages in post-operative recovery.

Biportal endoscopic UBE surgery represents a significant leap into the future of spine surgery by synthesizing three fundamental concepts:

• ultra-minimally invasive surgery with direct visualization during surgery,
• benefits for patients in the post-operative period due to reduced pain and medication needs,
• benefits for healthcare facilities that open up new surgical possibilities.

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