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Jho Institute for Minimally Invasive Neurosurgery

Endoscopic brain and spine surgery advances

At Allegheny Health Network (AHN) Neuroscience Institute, you have access to neurosurgeons with profound experience and expertise. Our team is known for performing novel endoscopic brain and spine surgery techniques pioneered by AHN’s own neurosurgeon, Hae-Dong Jho, MD, PhD.

AHN’s brain and spine surgeons use these less invasive techniques to provide life-changing relief to patients affected by the debilitating symptoms of many neurological conditions. Experience our world-class care for yourself at AHN’s Neuroscience Institute.

What is endoscopic neurosurgery?

In endoscopic brain and spine surgeries, a surgeon makes a small incision – instead of the large incision usually required for traditional surgeries. The surgeon inserts a small tube called an endoscope that has a lens or camera on its tip. The scope is connected to a high-definition monitor that provides the surgeon with a detailed view of the area, leading to a more precise, effective surgery. Learn more about neuroendoscopy.

Dr. Jho: endoscopic neurosurgery innovator

Dr. Jho is a professor and chairman of the department of neuroendoscopy and the director of the Jho Institute for Minimally Invasive Neurosurgery at Allegheny General Hospital in Pittsburgh. He has been a member of AHN’s expert neurosurgical team since 2001.

Despite advances in brain and spine surgery, the risks are still significant. Dr. Jho and his team at the Institute focus on developing neurosurgical techniques to make these surgeries more effective while minimizing the risks and reducing the length of recovery.

Dr. Jho earned his medical doctorate degree at Chonnam University Medical School in South Korea in 1971. During his career, he has earned his expertise in neurobiochemistry and neurosurgery and made significant contributions to advance endoscopic techniques in the field. He is certified by the American Board of Neurological Surgeons and has published hundreds of articles, abstracts, and book chapters on his invaluable work. Learn more about Hae-Dong Jho, MD, PhD.

When you come to AHN for minimally invasive brain and spine surgery, you benefit from these innovative techniques. They produce similar, and often better, results compared to conventional (open) surgery – with a fraction of the risk and recovery time.

Endoscopic innovations at the Jho Institute for Minimally Invasive Neurosurgery

Dr. Jho’s neuroendoscopic advances have been instrumental in the development of new, less invasive ways to treat a wide range of brain and spinal diseases.

Endoscopic spine surgery

Dr. Jho helped pioneer several innovative endoscopic surgical techniques that help preserve spinal structures and function. Using his approach, we can effectively treat many patients with cervical disk herniation, cervical stenosis, thoracic disc herniation, lumbar disc herniation, lumbar stenosis, spinal cord tumors, and other types of complex spine disease – and do so with fewer risks. Patients often recover quickly using this less invasive approach and have less discomfort and a shorter hospital stay. Learn more about minimally invasive spine surgery.

  • Endoscopic chiari decompression
    • With an inch incision, endoscopic decompression is performed as an outpatient surgery.
  • Endoscopic cervical laminectomy: With an inch incision, endoscopic cervical laminectomy is performed for spinal cord decompression as an outpatient surgery.
  • Endoscopic anterior cervical foraminotomy (Dr. Jho procedure): Endoscopic anterior foraminotomy is performed without spinal fusion surgery as an outpatient surgery.
  • Endoscopic thoracic discectomy: Endoscopic thoracic discectomy is performed with an inch incision as an outpatient surgery.
  • Endoscopic lumbar decompression: Endoscopic lumbar decompression is performed for lumbar stenosis with a less than inch incision as an outpatient surgery. No spinal fusion is necessary.
  • Endoscopic transthoracic T2 and T3 sympathectomy for hyperhidrosis: For excessive sweating, endoscopic transthoracic sympathectomy is performed at T2 and T3 sympathetic ganglion via a small incision at the armpit. It is usually an outpatient surgery.

Endoscopic brain surgery

Dr. Jho also helped develop intricate minimally invasive techniques to treat a wide range of brain conditions using tools similar to those used in endoscopic spine surgery. These innovations lead to fewer risks for patients during surgery and less scarring afterward.

Dr. Jho’s endoscopic brain surgery advances include:

  • Endoscopic endonasal pituitary and skull base procedures: This surgery removes brain tumors through the nose without an incision. It is highly effective for treating pituitary tumors and certain types of skull base lesions, with many patients experiencing fewer side effects and a quicker recovery. Learn more about pituitary neuroendocrine care.
  • Endoscopic transcranial skull base brain surgery: This procedure involves making a small hole in the various part of the skull to treat brain tumors and aneurysms in a less invasive way. Only a small bandage is needed to cover the incision after surgery. Learn more about brain surgery.
  • Cranial nerve surgery: Endoscopic microvascular decompression is a less invasive brain surgery that involves separating away the offending compressive blood vessels from the cranial nerves. Patients with trigeminal neuralgia, geniculate neuralgia, glossopharyngeal neuralgia or hemifacial spasm due to cranial nerve disorders have experienced lasting relief from this treatment with fewer side effects and a quicker recovery compared to the traditional treatment approach.
  • Endoscopic third ventriculostomy (ETV): This procedure treats hydrocephalus (cerebrospinal fluid buildup in the brain) with a less-invasive approach to the standard treatment, shunt surgery. Accessing the brain through a small hole in the skull, a surgeon makes a tiny incision to divert fluid and restore normal fluid flow. This improved procedure allows for an easier recovery and reduces the chance you will need additional surgeries. Learn more about hydrocephalus treatment.

Contact us

To contact the Jho Institute for Minimally Invasive Neurosurgery, call (412) 359-6110.

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