‘ผ่าตัดแผลเล็ก’รพ.พญาไท 2 ‘โรคระบบประสาทไขสันหลัง’ ผู้นำความสำเร็จการรักษา

<h2>‘Minimally Invasive Surgery’ at Phyathai 2 Hospital: Leading Success in Treating ‘Neurological and Spinal Cord Diseases’</h2>
The evolution of surgical treatment for “spinal diseases” has advanced significantly from the past. From large open surgeries to “minimally invasive surgery through endoscopy,” this is a top Thai medical innovation in spinal surgery that helps patients experience less pain, faster recovery, and no complications.
The Phyathai Hospital Group is a “leader” in introducing innovative surgical treatments for “neurological and spinal cord diseases,” with extensive experience. Dr. Theerasak Phuenngam pioneered and introduced the “Minimally Invasive Neurosurgery” approach, or “minimally invasive surgery,” in Thailand for over 15 years. He started by using endoscopic technology for brain surgeries and expanded it to minimally invasive spinal surgeries, becoming the first to succeed in Thailand.
The famous brain tumor case of “Lookmee” Laksamee Sapprung, a former child actress over ten years ago, who underwent minimally invasive surgery to treat a brain tumor successfully by Dr. Theerasak Phuenngam, is one of his proud achievements.
“Surgery is like a pilot who must have many flight hours because it requires learning and practice to become proficient, especially minimally invasive surgery that requires specialized instruments. Doctors must be highly skilled in using data and paying close attention to details, as well as having high precision in surgical positioning,” said Dr. Theerasak Phuenngam, neurosurgeon and spinal neurosurgeon, and head of the Mini Spine Center or the Endoscopic Spinal Surgery Center at Phyathai 2 International Hospital.
Dr. Theerasak shared that during his neurosurgery training in Germany, he continuously learned and trained under mentors and gained practical experience for many years. He then brought the minimally invasive surgical approach to Thailand. When he joined Phyathai Hospital, he initiated the use of brain surgery technology for spinal surgery. Previously, this technology was mainly used for brain surgeries, while spinal surgery had no such technology, making herniated disc surgery very frightening for patients. In reality, spinal nerve compression involves only one nerve and is not as dangerous as brain surgery, which involves a complex network of nerves.
“In the past 10 years, I have applied brain surgery technology to spinal surgery. Previously, general surgery involved large open incisions without special instruments. This was the point where I became interested and researched abroad, discovering that minimally invasive spinal nerve compression surgery had been performed for over 10 years. I then started using small endoscopes to perform minimally invasive spinal surgery on Phyathai patients, which relieved pain, caused less trauma, and allowed quick recovery. Patients could go home the same day after morning surgery. This was a revolutionary success in minimally invasive endoscopic herniated disc surgery, the first of its kind.”
Dr. Theerasak stated that herniated disc nerve compression is a common disease among Thai people. After the success of minimally invasive surgery, the technique was further developed to use local anesthesia instead of general anesthesia during surgery. Additionally, laser technology used in brain surgeries was introduced for spinal disc surgery in Thailand for the first time. They also adopted a device called a navigator, which can calculate coordinates of the spinal area to be operated on.
After Phyathai Hospital introduced minimally invasive endoscopic surgery for spinal patients, the Thai medical field became more alert, and patients no longer feared surgery. Phyathai Hospital then established a spinal neurology center in 2003 and later opened the “Mini Spine Center” or “Endoscopic Spinal Surgery Center.”
Dr. Theerasak said the Mini Spine team at Phyathai 2 stands out because it has two expert spinal surgery teams: brain neurosurgeons and spinal neurosurgeons. Being neurosurgeons who work with the brain allows for meticulous work and the ability to apply brain endoscopic surgery experience to herniated disc surgery effectively.
Currently, the Mini Spine Center has about 6-7 specialists working as a team, making joint decisions based on deep expertise in each area. Patients receive various treatment options. After diagnosis, the team holds meetings to decide the best treatment method for each patient.
“The frightening image of spinal surgery in the past has changed. Nowadays, patients are no longer afraid of surgery because they have hope for recovery. This center has helped many spinal patients avoid suffering.”
To date, over 1,000 patients have undergone spinal surgery at the center, with about 100 patients treated annually since its opening.
Minimally invasive spinal surgery is a new option for patients. Besides small incisions, less pain, and quick recovery, it has also changed the perception of surgery from something scary to manageable.
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Dr. Theerasak Phuenngam 
Specialist in Brain and Neuroscience 
Brain and Spine Center, Phyathai 2 Hospital

Spinal surgery is no longer something to be afraid of because Phyathai 2 Hospital is one of the first in the country to use minimally invasive spinal surgery technology through an endoscope. The advantages are small incisions, less pain, and faster recovery.

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‘Minimally Invasive Surgery’ Phyathai 2 Hospital ‘Spinal Cord Neurological Diseases’ Leader in Treatment Success

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