Minimal Invasive Surgeries

Surgery has been the mainstay of benign bone tumours and bone metastases. However, there are few alternative minimally invasive therapies which have shown to be equally safe and effective in treating these lesions, provided they meet certain criteria.

Almost all of minimal invasive surgeries are done with image guidance (Fluoroscope/X ray, CT scan or Ultrasound).

These procedures can be performed under either local anaesthesia or general anaesthesia based on age of patient, location of tumour and type off procedure.

Types of Minimally invasive surgeries:

  • Percutaenous Biopsy/Curopsy
  • Sclerotherapy
  • Thermal ablation
    • Radiofrequency ablation (RFA)
    • Microwave ablation
    • High-intensity Focused Ultrasound (HIFU)
    • Cryoablation or Cryotherapy (liquid nitrogen)
  • Percutaneous grafting,
  • Acetabuloplasty and vertebroplasty

Often, one or more of above procedures can be combined to treat the lesion. Ablation provides pain relief and any structural stabilisation or filling can be done with either grafting or cementoplasty.

Minimally invasive surgeries offer certain advantages over conventional curettage or resection surgeries, such as;

  • Decreased hospital stay or as a day care procedure
  • Faster recovery
  • Ease of repeat-ability
  • Lesser morbidity or complications owing to minimal invasive nature
  • Short anaesthesia
  • Early functional rehabilitation