PELD - Percutaneous Endoscopic Lumbar Discectomy
Recent advances in minimally invasive spinal surgery have given a new horizon to spinal treatment in India. Percutaneous Endoscopic Lumbar Discectomy is an advanced surgical technique which is now available at some of the best spine surgery hospitals in India. The procedure is done to decompress the lumbar disc space and remove herniated disc (prolapsed disc) through a posterolateral approach.
PELD is used in management of spinal tumors and structural deformities in patients who have low pain threshold and who are not responding well to conservative treatment such as anti-inflammatory drugs, physiotherapy etc. The procedure has become highly popular owing to reduced hospitalization and quicker recovery results associated with the surgery.
Who may need a PELD?
PELD is beneficial in cases where people have chronic low back pain and disability. It is the procedure of choice among people who have degenerated discs or herniated discs that compress surrounding structures within the spinal canal and lead to nerve compression. Some of the common problems associated with spinal nerve compression are – sciatica and low back pain. In cases where patients have been unresponsive to conservative treatment including direct injection therapies etc, PELD has been found to be of great help. It has also been found to be successful in resection of spinal tumors, fusion and treating structural deformities of spinal cord.
How is a PELD procedure performed?
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.
The laser surgery or percutaneous laser discectomy uses an external imager or fluoroscope to direct the probe. Through this probe laser energy is passed which vaporizes a part of inter-vertebral disc material which helps in decompression of the nerve root. Holmium yttrium- aluminum-garnet (Ho:YAG) laser is the most frequently used laser for this treatment.
Following the procedure, the wound is closed and single stitched. With this procedure the pain relief is immediate and the patient can soon resume work.
The advantages of PELD surgery are many. To name a few:
· Surgery is done under local anaesthesia
· The surgery is minimally invasive
· There is minimal blood loss
· No damage to muscle ligament and other tissues
· Quick recovery
· Early resumption of work
The cost of PELD surgery in India is highly affordable and much cheaper than what it costs in many western countries. The cost of PELD in India ranges between 6,000 – 6,500 USD depending upon the preference of city, surgeon and hospital facility one chooses.
IndiCure is the most trusted provider of medical treatment in India. IndiCure associates with best neurosurgeons in India and offers Percutaneous Endoscopic Lumbar Discectomy at the most affordable prices.