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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 scrutiny body part discectomy is that the final type of minimal invasive spine surgery. during this type of surgery, associate degree instrument referred to as medical instrument is employed. Whole surgery is finished below anesthesia and patient is totally awake throughout surgery. in reality for triple-crown surgery patients active participation is important.
Patient is formed to lie prone on operation table and precise entry purpose is mapped on patients body victimisation image intensive x-ray system. a protracted spinal needle is passed from aspect of back which works into disc directly by-passing different bone and ligaments. Through this needle guide wire is passed and once taking 5mm incision, dilator and dealing tubing area unit passed beneath anesthesia., through that medical instrument is passed. Camera and monitor is hooked up to medical instrument and prolapsed a part of disc is removed beneath vision. Wound is closed with single sew. Patient gets immediate pain relief and he will return in twenty four hrs and may resume his work presently.
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 referred to as machine-driven body covering discectomy involves insertion of a protracted spinal needle from aspect of back, directly into the disc, by-passing different bone and ligaments. Through this needle, guide wire is passed and when taking 5mm incision, dilator and dealing tubing area unit passed, through that medical instrument is inserted. Camera and monitor is hooked up to medical instrument and prolapsed a part of disc is removed below vision.
The Laser Surgery – is cited as body covering optical maser discectomy (PLD), that uses associate external imager referred to as the X-ray machine to direct the probe. The probe delivers optical maser energy that vaporizes an area of the inter-vertebral disc material and decompresses the nerve root. the foremost ofttimes used optical maser for treatment is Ho yttrium- aluminum-garnet (Ho:YAG) optical maser.
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.