The medicine is moving towards minimally invasive surgery

Written by: Dr. Ricardo Casal Grau
Published: | Updated: 20/02/2020
Edited by: Top Doctors®

General medicine and surgery in particular are evolving towards ever more advanced techniques. Open techniques in traumatology and orthopedic surgery are the main weapon of the surgeon, but from their prior knowledge is when the surgeon gets to develop the most desirable arthroscopic and endoscopic techniques when possible.

Meet minimally invasive surgery for the treatment of spinal problems such as stenosis or sciatica. Minimally invasive techniques maintain the accuracy of the open techniques, and getting direct view of the area to intervene through an optical system, preserving the integrity of all tissues that are damaged to openly access. The accesses are made by incisions between 0.5 and 1 cm known as "portals". Its benefits are undeniable, but require a high degree of training, skill and precision.


When and in what cases minimally invasive techniques are used

Studying each case carefully and check that there is a correct indication, these techniques can be used to:

  • Arthroscopy knee, hip, shoulder or ankle
  • Herniated disc
  • Problems such as breakage of sleeve or shoulder instability
  • Meniscal tears or ACL in the knee,
  • Impingement anterior or posterior ankle and hip
  • Sequelae of sprains and fractures
  • Osteoarthritis or articular cartilage injuries in the ankle, knee or hip


The ankle is a joint where arthroscopy and endoscopy is booming, both accessing the anterior chamber (arthroscopy) and the posterior (endoscopic).

Moreover, novel way in Spain, is performing endoscopy in the spine to solve sciatica and herniated discs.


Minimally invasive surgery spine

The latest techniques in minimally invasive spine, especially endoscopic transforaminal, performed in Spain only by the team led by Dr. Casal Grau. This technological advance gives better results compared to traditional endoscopy. Lumbar Discectomy Percutaneous the Transforaminal is performed with one endoscopic access to the spine through the foramina to herniated. This allows solving different pictures from sciatica or stenosis with minimal aggression without altering the bone structure of the spine. Patients walk a few hours and are discharged from the hospital the same day of surgery or the following day maximum.



The tenoscopia is percutaneous access to the tendon sheaths to explore and sometimes treat them without causing any harm or sequel as in open surgery. This is especially interesting for athletes.

*Translated with Google translator. We apologize for any imperfection

By Dr. Ricardo Casal Grau
Orthopaedic Surgery

As an expert in arthroscopy , endoscopy and tenoscopy , Dr. Casal leads a team of specialists in the different areas of the specialty, particularly the spine, hip, knee, ankle and foot.

He directs a powerful spine unit, in which all conventional open techniques are performed, and in particular Endoscopic Lumbar Percutaneous Discectomy , being one of the few surgeons who perform it in Madrid and the first in Spain. The transforaminal endoscopy dominates in all its amplitude, thus opening a new field in the treatment of herniated disc and other diseases of the Spine.

It offers first level assistance with a thorough consultation, an accurate diagnosis and the selection of the appropriate treatment in each case. In short, a personalized and careful treatment. This really makes a difference in Dr. Casal's team.

*Translated with Google translator. We apologize for any imperfection

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