July 16th, 2018

Patients of Carolina Medical Center benefit from the latest solutions in the treatment of spine diseases. We develop minimally invasive surgery, which is an alternative to classical methods or microsurgical operations that require significant interference in tissues, e.g., dissect muscles. Our doctors specialize in endoscopic operations, which are currently the least invasive among minimally invasive surgical methods.

Carolina Medical Center, as the first in Poland, introduced joimax® equipment for endoscopic spinal surgery. These are modern, technologically advanced instruments and endoscopes used in minimally invasive spinal surgery in the lumbar and thoracic spine. This treatment method allows treatment of almost all cases of hernias and spinal stenosis.


  • almost all types of intervertebral disc herniation (discopathy) in the lumbar and thoracic spine;
  • spine pathologies at L5 / S1 level;
  • spinal stenosis;
  • cysts of joints within articular processes;
  • narrowing of the intervertebral aperture;
  • hypertrophy of the ligamentum flavum;
  • lumbar osteophytes;
  • cauda equina syndrome;
  • scarring after repeated or control operations.


  • return to activity an hour after a surgery;
  • short recovery – a short stay in the hospital and a short period of rehabilitation;
  • small incisions of the skin (0.5 – 1 cm), low blood loss, small postoperative scars, intactness of the paraspinal muscles, ligaments and bones;
  • low risk of infection – short stay at the operating theatre;
  • broad applicability of this method, especially in people who can not have open surgery because of their age or illnesses.


The operation method using joimax® is performed in the operating room. The patient is positioned on his side (lateral position) or stomach (prone position).

Step 1

The surgeon makes a small skin incision (0.5 – 1 cm) and creates a canal leading directly to the place of the hernia. The surrounding tissues are carefully moved without cutting. As a result, the muscles and paraspinal ligaments and bones are not affected.

Step 2

The surgeon inserts an endoscope through the opening that leads to the treatment area. The doctor carefully removes the hernia of the intervertebral disc.

Step 3

The surgeon removes all instruments and puts stitches and dressin on a small incision. After surgery, only a small scar remains. The patient can leave the hospital one day after the surgery.

At Carolina Medical Center, we perform a full range of lumbar and thoracic endoscopic spine treatments. It is possible thanks to two alternative methods of reaching the spinal canal – through the natural spine hole, called the intervertebral hole (TESSYS® method) or through interlaminar access path (iLESSYS® method).