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.

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Advantages of PELD (Percutaneous Endoscopic Lumbar
Discectomy)
Percutaneous Endoscopic Lumbar Discectomy (PELD)
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.

2. 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
- Patient is in prone position under the local anesthesia so as to communicate with the
surgeons and nurses. The surgeon inserts the thin wire into the disc. With the 0.6cm
(diameter) of endoscope, the surgeon could observe the inside with safety. With the
better view under endoscope, minute forceps, radio-frequency, and Holmium-YAG
laser, the surgeon could make the disc shrink so as to diminish the pain. This treatment,
regarded as the third generation, is more advancing that the previous first, second
generation laser therapy with following additional effectiveness.
- 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)

3. 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.
Most Advanced Minimally Invasive Percutaneous Endoscopic
Lumbar Discectomy (PELD) Surgery in India
Our network hospitals have the most advanced spine surgery facilities. The spine
surgeons here use minimally invasive and computer guided techniques in spine
surgery. In a Minimally Invasive spine surgery the surgeon makes a few small incisions
unlike the open surgery where a single large incision is made. Minimally Invasive spine
surgery has several important benefits for the patients. If you have been advised spine
surgery your first choice should be the latest minimally invasive technique developed
by our world best hospitals in India. Most advanced Technology like Intra Operative
MRI, Brain Suite and Computer Assisted Navigation System are deployed by highly
trained surgeons for accurate and safe Spine Surgeries through a small incision.
Why should you choose to get Indian hospitals offer the best spinal surgery
treatment in India at affordable prices. MedWorld india associated best spine surgery

4. hospitals in India have the latest technology and infrastructure to offer the most
advanced spine surgery at low cost.
Salient features of these hospitals are:
 Comprehensive management of spine disorder from birth defects to degeneration of
tumor and trauma.
 Dedicated team of International trained and vastly experienced Spine Surgeons,
Rheumatologists, Neurologist, Physicians and Physiotherapist.
 Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons,
Rheumatologists, Neurologist, Physicians and Physiotherapist.
 Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays,
Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
 Physiotherapy and Rehabilitation by experts after the surgery help you regain functional
abilities quickly helping in vastly improved overall results.
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