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Minimally Invasive Slipped Disc Surgery PELD
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Percutaneous Endoscopic Lumbar Discectomy (PELD)

Approximate Cost :On Request Duration : 3-10 Days

Advanced Minimally Invasive, Short Stay Surgery for Slipped Disc, Disc Herniation and Chronic Lower Back pain

Percutaneous endoscopic lumbar discectomy is the ultimate form of minimal invasive spine surgery. In this form of surgery, an instrument called endoscope is used. Whole surgery is done under local anesthesia and patient is fully awake during surgery. In fact for successful surgery patients active participation is necessary.
Patient is made to lie prone on operation table and exact entry point is mapped on patients body using image intensifier x-ray system. A long spinal needle is passed from side of back which goes into disc directly by-passing other bone and ligaments. Through this needle guide wire is passed and after taking 5mm incision, dilator and working cannula are passed under local anesthesia., through which endoscope is passed. Camera and monitor is attached to endoscope and prolapsed part of disc is removed under vision. Wound is closed with single stitch. Patient gets immediate pain relief and he can go home in 24 hrs and can resume his work soon.

Procedure and Types of Percutaneous Endoscopic Lumbar Discectomy (PELD)

Endoscopic Lumabr DiscectomyPercutaneous endoscopic lumbar discectomy is the ultimate form of minimal invasive spine surgery. It is an endoscopic daycare surgical procedure which is conducted in about 60 minutes, under local anesthesia with mild sedation. Patient is made to lie on his front on the operation table and exact entry point is mapped on patient's body using image intensifier x-ray system. A small incision is made about 8-10 centimeters from the midline on the posterior part of the body. Now there are two different ways in which the inter-vertebral disc material can be removed (i.e. manually or using laser).
Manual Procedure – also known as automated percutaneous discectomy involves insertion of a long spinal needle from side of back, directly into the disc, by-passing other bone and ligaments. Through this needle, guide wire is passed and after taking 5mm incision, dilator and working cannula are passed, through which endoscope is inserted. Camera and monitor is attached to endoscope and prolapsed part of disc is removed under vision.
The Laser Surgery – is referred to as percutaneous laser discectomy (PLD), which uses an external imager called the fluoroscope to direct the probe. The probe delivers laser energy which vaporizes a part of the inter-vertebral disc material and decompresses the nerve root. The most frequently used laser for treatment is Holmium yttrium- aluminum-garnet (Ho:YAG) laser.

In either procedure, the wound is closed with single stitch. Patient gets immediate pain relief and he can go home in 24 hrs and can resume his work soon.

What are the advantages of Percutaneous Endoscopic Lumbar Discectomy (PELD) ?

  • Surgery is done under local anesthesia with conscious sedation
  • No muscle, ligament or normal tissue damage and minimal blood loss
  • Patient can be discharged in 24 hrs. No prolonged bed rest required after surgery.
  • Early return to work
  • Even prolapsed, migrated, extra-foraminal, recurrent discs can be removed.
  • Very good technique for old and medically compromised patients.

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