Monday, 27 February 2017

Percutaneous Endoscopic Lumbar Discectomy (PELD) Treatment in India

Percutaneous Endoscopic Lumbar Discectomy (PELD) Treatment in India

Surgery in India Percutaneous Endoscopic Lumbar Discectomy (PELD) is quite 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.

PELD or Percutaneous Endoscopic Lumbar Discectomy is an advanced minimally invasive spine surgery done for the decompression of the lumbar disc space and removal of nucleus pulposus via a posterolateral approach. PELD is also a good treatment option in management of spinal tumors and structural deformities also in patients whose pain threshold is low or who are not responding well to conservative treatments like pain killers, anti inflammatory drugs and rehabilitation.


Percutaneous Endoscopic Lumbar Discectomy is a minimally invasive day care procedure which is performed under local anaesthesia and mild sedation. The patient is made to lie on his front on the operation table and through an image intensifier X-ray system the entry point on patient’s body is mapped. There are two ways by which inter-vertebral disc is removed which could be manual or using laser.

A manual procedure, also known as automated percutaneous discectomy, entails inserting a long spinal needle from side of back directly into the disc bypassing other bone and ligament structures. A guide wire is made to pass through the spinal needle and after making an incision of 5 mm an endoscope is inserted. To the endoscope is attached a camera and monitor which provide visual help in removing the prolapsed part of disc.


• Surgery done under local anesthesia with conscious sedation.

• Very good technique for old and medically compromised patients.

• No muscle, ligament or normal tissue damage.

• 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.

• Even prolapsed, migrated, extra-foraminal, recurrent discs can be removed.

• Very good technique for old and medically compromised patients.

• Even prolapsed, migrated, extra-foraminal, recurrent discs can be removed.

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