GOLD STANDARD SPINE CARE

Microdiscectomy Surgery in Hyderabad | Microscopic Precision

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Published 27 January 2026Updated 27 January 2026

Microdiscectomy is the globally accepted "Gold Standard" for treating slip disc and sciatica. Performed by Dr. Sayuj using high-end Zeiss microscopes at Yashoda Hospital, Malakpet, this procedure ensures maximum safety and high success rates.

Why Patients Trust Dr. Sayuj Krishnan

Why Microscopic Surgery?

  • Proven Track Record: The most widely performed and studied spine surgery.
  • Safety: 3D visualization helps avoid nerve injury.
  • Versatility: Suitable for complex, calcified, or migrated discs.
  • Cost-Effective: Slightly more affordable than endoscopic kits in some cases.

Free MRI Review

Dr. Sayuj will review your MRI to determine if Microdiscectomy or Endoscopic Surgery is better for you.

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Conditions Treated with Microdiscectomy

Microdiscectomy is ideal for patients with significant leg pain (sciatica) who have not improved with 6 weeks of conservative therapy (medicines/physio).

  • Lumbar disc herniation (slip disc)
  • Severe Sciatica
  • Cauda Equina Syndrome
  • Spinal stenosis (narrowing)
  • Recurrent disc herniation
  • Calcified disc fragments

Advanced Microscopic Techniques

High-Magnification Zeiss Optics

We use advanced Zeiss operating microscopes that provide 3D visualization and deep illumination, ensuring nerves are protected at all times.

Tubular Microdiscectomy

A variation where a tube is used to split muscles, combining the benefits of microscopy with minimal muscle trauma.

Micro-Laminectomy

For spinal stenosis, we remove bone spurs compressing the nerves while preserving the stability of the spine (unlike open laminectomy).

Ligament Preservation

Microscopic techniques allow us to preserve the supraspinous and interspinous ligaments, maintaining the spine's natural tension band.

How is Microdiscectomy Performed?

Step 1: Anesthesia

General Anesthesia

You will be asleep under general anesthesia. This ensures safety and immobility while we work with high-power magnification.

Step 2: Incision

Small Incision

A 2-3 cm incision is made in the midline of the back. This is significantly smaller than open surgery (5-10 cm).

Step 3: Microscope Setup

High-Definition View

The operating microscope is brought in. It magnifies the nerve roots and disc material 10-20 times, making them clearly visible.

Step 4: Decompression

Precise Removal

Using micro-instruments, a small window is made in the bone (laminotomy) and the herniated disc fragment pressing the nerve is removed.

Step 5: Closure

Hidden Sutures

The muscles are allowed to fall back into place. The skin is closed with absorbable sutures that do not need removal.

Success Rates

With thousands of procedures performed worldwide annually, Microdiscectomy sets the benchmark for success in spine surgery.

95%
Lumbar Disc Herniation

The gold standard procedure for sciatica relief with decades of proven data.

90%
Recurrent Disc Herniation

Excellent visualisation makes it safe for re-do surgeries where scar tissue is present.

90%
Spinal Stenosis

Effective decompression of the spinal canal (Micro-laminectomy) for walking difficulty.

Recovery Timeline

Day 1 (Surgery)
Walk to washroom with assistance 6 hours after surgery.
Day 2 (Discharge)
Discharge from hospital. Walk independently.
Week 2
Short walks outside. Sutures removal (if any).
Week 3-4
Resume driving and desk work.

Microdiscectomy vs. Endoscopic Surgery

Both are minimally invasive options. Endoscopic uses a camera; Microdiscectomy uses a microscope. Here is a comparison:

Comparison of Endoscopic vs. Traditional Surgery
FeatureEndoscopic (Keyhole) SurgeryTraditional Open Surgery
Incision SizeTiny (< 1 cm)Large (3-5 inches)
Muscle DamageMinimal (muscles dilated, not cut)Significant (muscles stripped)
Blood LossNegligibleModerate
Hospital StayDay Care / 24 hours3-5 days
Post-op PainMild (oral meds only)Moderate to Severe
Recovery TimeReturn to work in 1-2 weeks4-6 weeks or more
ScarringAlmost invisibleNoticeable scar

*Dr. Sayuj performs both procedures and will recommend the best one based on your specific MRI findings.

Estimated Cost of Treatment

Transparent pricing for self-pay patients. Insurance packages available.

ProcedureEstimated Cost Range (INR)Typical RecoveryIncludes
Microdiscectomy (Lumbar)₹1,10,000 - ₹1,50,0002 Days
  • Surgeon Fees
  • OT & Microscope Charges
  • Standard Room (2 Days)
  • Medications
Microscopic Decompression₹1,25,000 - ₹1,65,0002-3 Days
  • Stenosis Decompression
  • High-End Microscope
  • Neuromonitoring
Cervical Microdiscectomy₹1,30,000 - ₹1,80,0002-3 Days
  • Neck Surgery
  • Microscope Usage
  • Specialised Instrumentation

Note: Estimates for self-pay patients at Yashoda Hospital Malakpet. Includes surgeon fees, hospital charges, and standard room. Implants (if needed) are extra.

Insurance & Cashless Facility

We understand that spine surgery is a significant financial decision. At Yashoda Hospital Malakpet, we accept all major health insurance providers and TPAs.

  • Cashless Treatment: Available for eligible policies (Star, HDFC Ergo, Bajaj Allianz, etc.)
  • Government Schemes: We accept EHS (State Govt) and other notified schemes.
  • Hassle-Free Process: Our dedicated Insurance Desk handles pre-authorization paperwork for you.

*Please bring your Insurance Card and ID proof during consultation for eligibility check.

Need Insurance Guidance?

Our coordinators can help check your policy coverage.

Call Insurance Desk

Expert Care at Yashoda Malakpet

Dr. Sayuj Krishnan is a highly experienced neurosurgeon specializing in microscopic and endoscopic spine surgeries. Surgery is performed in state-of-the-art operation theatres equipped with the latest Zeiss microscopes.

Dr. Sayuj Krishnan – Neurosurgeon
Hospital:Room No 317, OPD Block, Yashoda Hospital, Nalgonda X Roads, Malakpet, Hyderabad 500036

Location

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FAQs

What is Microdiscectomy?

Microdiscectomy is a minimally invasive spine surgery performed using a high-powered operating microscope. This allows the surgeon to see the nerves and disc in extreme detail through a small incision (2-3 cm), ensuring precise removal of the herniated disc material.

How is it different from open surgery?

Unlike traditional open surgery which requires large incisions and muscle cutting, microdiscectomy uses a small incision and special retractors. The microscope provides illumination and magnification, allowing the surgeon to work around muscles rather than cutting through them.

What is the recovery time for microdiscectomy?

Patients typically walk the same day or the next morning. Discharge is usually after 24 hours. Most patients return to desk work in 2-3 weeks and driving in 3 weeks, which is slightly longer than endoscopic surgery but still very quick.

Why choose Microdiscectomy over Endoscopic Surgery?

Microdiscectomy is the "Gold Standard" and has been used successfully for decades. It is sometimes preferred for complex herniations, recurrent discs, or when bony anatomy makes endoscopic access difficult. It offers excellent long-term results.

Is general anesthesia required?

Yes, microdiscectomy is typically performed under general anesthesia to ensure you are completely still while the surgeon works with high magnification near delicate nerves.

How successful is this procedure?

Microdiscectomy has a success rate of over 90-95% for relieving leg pain (sciatica) caused by disc herniation. It is one of the most successful procedures in spine surgery.

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Medically reviewed by Consultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 27 January 2026

This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.