Percutaneous Endoscopic Lumbar Discectomy (PELD) is a unique
approach which is quickly getting popular amongst patients and surgeons in the
treatment of nonsequestrated disc herniation (disc prolapse) as it reduces the
post operative hospitalization and recovery time.
An advanced minimal invasive technique,
Percutaneous endoscopic lumbar discectomy (PELD) is performed for the
decompression of the lumbar disc space and removal of nucleus pulposus via a
posterolateral approach. In addition to decompression surgery, the technique
has been found effective in management of spinal tumors and structural
deformities. This surgery is recommended in patients who fail to respond
effectively to conservative treatment with pain killers like NSAIDs (Non
Steroidal Anti inflammatory Drugs) or when the pain threshold is low. In
this form of surgery, an instrument called endoscope is used and the whole
surgery is done under local anesthesia with the patient fully awake during
surgery.
Who may require PELD?
Individuals suffering from chronic low
back pain and disability may benefit from a PELD procedure. It is often used to
treat patients suffering from degenerated discs, bulging discs or herniated
discs that compress upon the surrounding structures within the spinal canal
causing nerve compression, sciatica and low back pain. It can also be used if
the patient fails to respond to conventional management therapies including
direct injection therapies for three months or more. The surgery is also found
to be successful in resection of spinal tumors, fusion and structural
deformities of the spinal cord.
Advantages
- Under the local anesthesia, the elderly patients or even the diabetes patients could tolerable the procedure.
- Cosmetic effects since it is minimally invasive spinal surgery.
- It preserves vertebrae and normal nucleus pulposus and removes only the lesional site so that there is no risk of evoking the neural adhesion. Bloodless surgery, no transfusion is required.
- It saves the time and the costs. 75% of the patients discharged on the same.
- Due to rapid recovery, comparing to open surgeries, it is recommendable for the workers or students with the desire of early return-to-work.
Surgical Techniques
- Minimized excision effect (with laser, as fine as hair, which could approach into the small and narrow spinal canal)
- Prevent lumbar pain effect (pain nerve that distributed to posterior annulus fibrosis)
- Disc diminishing effect (diminish the extruded disc)
- Disc intensifying effect (remodeling the collagen component of disc material)
- Hemostasis effect (coagulation)
Indications
This surgical technique is in between the conservative therapy and open surgery. Therefore, either lumber disc herniation or extraforaminal stenosis is an indication, which shows no improvement after conservative therapy.
Prognosis
Successful rate is 93% and 7% showed the recurrence. The 7% recurrence was due to combined spinal canal stenosis.
This surgical technique is in between the conservative therapy and open surgery. Therefore, either lumber disc herniation or extraforaminal stenosis is an indication, which shows no improvement after conservative therapy.
Prognosis
Successful rate is 93% and 7% showed the recurrence. The 7% recurrence was due to combined spinal canal stenosis.
Our network hospitals have the
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Spine Surgery India offers the best services to the patients who are being treated with the endoscopic spine surgery India but wants the most reasonable and efficient surgery within the least effective cost that can be affordable by even middle class patients also
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