Togo Performs First Endoscopic Spine Surgery

On November 4, the Dogta-Lafiè Hospital in Lomé, Togo, successfully performed the country's first endoscopic spine surgery. The procedure involved a small incision of just 8 millimeters, and the patient was able to stand up within an hour after the operation. This breakthrough was reported by La Nouvelle République. The surgery was performed using a minimally invasive technique, which allows for a quicker recovery time and reduced risk of complications.

The endoscopic spine surgery technique involves introducing a thin tube, called an endoscope, through a small incision of less than one centimeter. The endoscope is equipped with a high-definition camera and light source, allowing the surgeon to visualize the area on a screen. Micro-instruments are then inserted through the same channel, and the procedure is performed under continuous irrigation with a saline solution. This technique is primarily used to treat herniated discs and certain spinal canal narrowing.

The surgery aims to relieve pressure on nerves caused by herniated discs or spinal canal narrowing, which can lead to lower back pain, sciatica, numbness, or loss of strength in the legs. During the procedure, the surgeon removes the fragment of the disc or bone compressing the nerve, without cutting or detaching the back muscles. The benefits for the patient include reduced bleeding, less post-operative pain, and a minimized risk of infection.

The Dogta-Lafiè Hospital, located in Agoènyivé, a suburb north of Lomé, was inaugurated in 2023. The hospital's name, which translates to "hospital of health" in the Moba and Nawdba languages, reflects its mission to provide quality healthcare. The hospital covers an area of 11,000 square meters and has 160 beds and six operating theaters. It offers a range of services, including consultations, hospitalization, imaging, maternity care, and functional explorations.

The hospital has established itself as a center for advanced medical care. In October 2025, it became the first African institution to acquire the Focal One, a French robot that treats prostate cancer using ultrasound, without incision or radiation therapy. Additionally, the hospital has opened a breast cancer screening center using 3D mammography, and consultations are now available in Kara.

While the endoscopic spine surgery technique offers several advantages, it is not suitable for all cases. Instabilities of the spine, significant deformities, or certain fractures still require traditional surgery. The technique also requires expensive equipment and extensive training for surgeons. However, for eligible patients, the benefits of this minimally invasive procedure are substantial.

The successful performance of Togo's first endoscopic spine surgery marks a significant milestone in the country's medical development. The procedure demonstrates the capabilities of the Dogta-Lafiè Hospital and its commitment to providing advanced healthcare services. As the hospital continues to expand its services, it is likely to have a positive impact on the healthcare landscape in Togo and beyond.

Key points

• The surgery was performed using a minimally invasive technique, which allows for a quicker recovery time and reduced risk of complications.