# Neurosurgical endoscopy > Endoscopic techniques in neurosurgery to minimise invasion. Endonasal endoscopy, ventricular endoscopy and spinal endoscopy. Care for national and international patients. URL: https://brainandspine-bcn.com/en/treatments/endoscopy/ Fuente: Brain & Spine Barcelona — https://brainandspine-bcn.com --- # Neurosurgical endoscopy Approaches through natural cavities or small incisions. Reduction of damage to healthy tissue, faster recovery and shorter hospitalisation. ## Surgery with endoscopic vision **Neurosurgical endoscopy** allows access to intracranial and spinal structures through minimal incisions or natural orifices, using a high-definition optic introduced into the surgical field. ### Main applications - **Endonasal endoscopy:** pituitary and skull base tumours without external scars. - **Ventricular endoscopy:** treatment of hydrocephalus by ventriculostomy, intraventricular cysts. - **Spinal endoscopy (Ultra MISS):** cervical and lumbar disc herniations, decompressions and **endoscopic vertebral fusion** with millimetric incisions. Ultra MISS · Ultra Minimally Invasive Spine Surgery **Spinal endoscopy** is the only technique classified as *Ultra MISS*: millimetric incisions, minimal muscle disruption and the possibility of performing even vertebral fusion endoscopically. Microsurgery and other minimally invasive techniques fall within the MIS group but do not reach the degree of minimal invasion achieved by endoscopy. General advantages of endoscopy: less postoperative pain, reduced hospital stay (24-48h in many cases), discreet incisions and faster return to daily life. ## Step by step of an endoscopic procedure 1. 1 · Planning Preoperative study with high-resolution MRI/CT and, when appropriate, image fusion and neuronavigation to plan the optimal trajectory. 2. 2 · Minimal access Access through a natural cavity (nose for endonasal, brain ventricle for ventricular endoscopy) or through a 7-15 mm incision for spinal endoscopy. 3. 3 · HD vision of the field The endoscope with 0°, 30° or 45° optics provides direct and magnified visualisation of the lesion. It illuminates and magnifies structures that would be poorly accessible via the traditional route. 4. 4 · Targeted treatment Tumour resection, cyst fenestration, ventriculostomy or radicular decompression with instruments specifically designed for the endoscopic working channel. 5. 5 · Closure and recovery Minimalist closure without visible sutures when the approach is endonasal. Admission of 24-48 h in most cases and progressive return to activity within days. ## Neurosurgeons who perform endoscopy ### Dr. Abel Ferrés Pijoan Neurosurgeon · Spine, neuro-oncology and skull base View profile → ### Dr. Jorge Torales Neurosurgeon · Skull base and spinal endoscopy View profile → ### Dr. Pedro Roldán Ramos Neurosurgeon · Spine, functional and brain View profile → ## Transorbital endoscopic surgery explained ## Related articles Minimally invasive surgery for sports injuries Read article → Foraminal stenosis: symptoms and treatment Read article → Diagnosis and treatment of sciatica Read article → ## What our patients say 5,0 Average rating on Doctoralia · testimonials anonymised with consent "I arrived with a glioma I had been told was inoperable. Here they reviewed it at the tumour board and offered me a plan. The surgery was a success. Four years on, I am well." "For years I had a cervical disc herniation, operated on by another team with no improvement. Minimally invasive surgery gave me back my mobility and took the pain away." "I travelled from outside Spain. The team reviewed my case before I came and gave me a clear plan. Caring people and impeccable technique." _**A multidisciplinary team by your side.** Neurosurgeons, neurologists and nursing staff working together on every case. [Meet the whole team →](https://brainandspine-bcn.com/en/team/)_