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endoscopic lumbar discectomy is a minimally invasive procedure for treating lumbar herniated disc first a thin guide wire is placed under x-ray control down to the involved level of the spine a tapered dilator is inserted over the guide wire a small tube is inserted over the dilator to create a portal to the herniated disc the endoscope is placed through the tube and the discectomy is performed using special instruments your surgeon can now micro surgically remove the herniation thereby relieving nerve root compression the incision is closed with a stitch or two and the procedure is complete