Awake Spine Surgery in Hyderabad
Awake endoscopic spine surgery lets high-risk or elderly patients avoid the stress of general anaesthesia while still receiving precise decompression or discectomy. I perform these procedures at Yashoda Hospital, Malakpet using regional blocks, conscious sedation, and full neuromonitoring so you stay safe and recover faster.
Who benefits most
- • Patients with cardiac, lung, or metabolic risk factors who should minimise general anaesthesia exposure.
- • Elderly patients needing lumbar stenosis decompression or herniated disc removal.
- • Those seeking faster mobilisation with same-day or next-day discharge.
- • Workers who need to return to activity quickly with less postoperative grogginess.
How the awake endoscopic approach works
We use a spinal or epidural block with light IV sedation. You breathe on your own and do not feel pain. A 6–8 mm working channel endoscope allows targeted decompression with minimal muscle disruption. Throughout the procedure, we monitor comfort, leg movement, and nerve signals to keep the procedure safe and precise.
When we choose an awake plan
- • Lumbar stenosis or disc prolapse needing short-segment decompression
- • Patients with sleep apnoea, COPD, or heart disease where GA risk is higher
- • Prior anaesthesia intolerance (severe nausea, confusion, or agitation)
- • Desire for faster recovery and fewer opioids post-op
Procedure flow
- Pre-op assessment with anaesthesia and cardiac clearance when needed.
- Regional block with light sedation; continuous monitoring of comfort.
- Endoscopic decompression through a keyhole 6–8 mm port.
- Immediate leg movement check in OT; walk with physiotherapist within hours.
- Same-day discharge for most patients; tele-follow-up at 48 hours.
Cost and logistics
Awake endoscopic procedures typically mirror our minimally invasive spine packages, with savings from shorter hospital stay and reduced medication. Most patients are discharged the same day or after one night. Insurance and cashless options are available; share your MRI and policy details to receive a personalised estimate.
What to expect after surgery
- • Walk within hours; guided physiotherapy before discharge.
- • Desk work in 7–10 days for most discectomy/stenosis cases.
- • Clear wound-care plan and 24/7 helpline for concerns.
- • Follow-up at 48 hours (tele), day 7, and day 30 with customised rehab.
Schedule an awake spine consult
Share your MRI and symptoms to confirm if an awake endoscopic approach is right for you. High-risk or elderly patients often gain safer anaesthesia profiles and faster recovery with this protocol.
Sources & Evidence
- North American Spine Society – Perioperative Considerations for Spine Surgery
- Journal of Spine Surgery – Awake Spine Surgery Review
External links are provided for transparency and do not represent sponsorships. Each source was accessed on 19 Oct 2025.
Medically reviewed by Dr. Sayuj KrishnanConsultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 24 October 2025
This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.