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Percutaneous Endoscopic Lumbar Discectomy(PELD) Surgery in India


Percutaneous Endoscopic Lumbar Discectomy (PELD) is quite a unique
approachwhichisquicklygettingpopularamongstpatientsandsurgeonsinthe
treatment of nonsequestrated disc herniation (disc prolapse) as it reduces the
postoperativehospitalizationandrecoverytime.

PELD or Percutaneous Endoscopic Lumbar Discectomyis an advanced


minimallyinvasivespinesurgerydoneforthedecompressionofthelumbardisc
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
drugsandrehabilitation.

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Candidates for Percutaneous Endoscopic Lumbar Discectomy

Individuals suffering from chronic low back pain and disability may
benefit from a PELD procedure. It is often used to treat patients
sufferingfromdegenerateddiscs,bulgingdiscsorherniateddiscsthat
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
therapiesincludingdirectinjectiontherapiesforthreemonthsormore.
Thesurgeryisalsofoundtobesuccessfulinresectionofspinaltumors,
fusionandstructuraldeformitiesofthespinalcord.

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How is a PELD procedure performed?


Percutaneous Endoscopic Lumbar Discectomy is a minimally invasive day care procedure
whichisperformedunderlocalanesthesiaandmildsedation.Thepatientismadetolieonhis
frontontheoperationtableandthroughanimageintensifierX-raysystemtheentrypointon
patientsbodyismapped.Therearetwowaysbywhichinter-vertebraldiscisremovedwhich
couldbemanualorusinglaser.
Amanualprocedure,alsoknownasautomated percutaneous discectomy,entailsinsertinga
longspinalneedlefromsideofbackdirectlyintothediscbypassingotherboneandligament
structures. A guide wire is made to pass through the spinal needle and after making an
incisionof5mmanendoscopeisinserted.Totheendoscopeisattachedacameraandmonitor
whichprovidevisualhelpinremovingtheprolapsedpartofdisc.
Thelaser surgeryorpercutaneouslaserdiscectomyusesanexternalimagerorfluoroscopeto
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.
Followingtheprocedure,thewoundisclosedandsinglestitched.Withthisprocedurethepain
reliefisimmediateandthepatientcansoonresumework.

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Advantages of PELD (Percutaneous Endoscopic Lumbar Discectomy)

Surgerydoneunderlocalanesthesiawithconscioussedation
Verygoodtechniqueforoldandmedicallycompromisedpatients.
Nomuscle,ligamentornormaltissuedamage
Itsavesthetimeandthecosts.75%ofthepatientsdischargedonthesame.
Duetorapidrecovery,comparingtoopensurgeries,itisrecommendablefor
theworkersorstudentswiththedesireofearlyreturn-to-work.
Evenprolapsed,migrated,extra-foraminal,recurrentdiscscanberemoved.
Verygoodtechniqueforoldandmedicallycompromisedpatients.
Evenprolapsed,migrated,extra-foraminal,recurrentdiscscanberemoved.

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How much does Percutaneous Endoscopic Lumbar Discectomy cost?

Our world class spine hospitals in India are fully equipped with state of
art diagnostic centres with advanced Digital X-ray, MRI and CT scan
facilities and fully-equipped operating room with specialized equipment
like endoscope and laser, to undertake such specialized procedures. The
surgery is performed by experienced orthopedicians or neurosurgeons,
who have specialized in spine surgeries and who have undergone
specialized training in the worlds best spine surgery hospitals in USA,
UK and Australia. Our hospitals also provide excellent patient care at
extremely affordable costs which is just around 20-30% of the surgery
costincountrieslikeUS.

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FAQ - SpineSurgery and Treatment in India


When is surgery necessary for patients with spine problems?
Surgery for conditions associated with disc disease is necessary when patients continue to be
symptomaticdespiteallconservativetreatments.Generally,patientstryconservativetreatmentsfor
between2and6months.Ifafterthistrialofconservativetreatmentpatientscontinuetohavesevere
pain,surgeryisanexcellentoption.Surgerybecomes"necessary"whenpatientsdevelopsignsand
symptomsofprogressivenervedamageie,increasingmuscleweaknessorworseningnervedamage.
What are the benefits of getting Spine Surgery in India?
Spine Hospitals in India are equipped with the most advanced medical treatment. They have the
mostextensiveSpine-diagnosticandimagingfacilitiesincludingAsiasmostadvancedMRIandX-
rays technology. Personalized care and attention is provided with value added services besides
resultsofworldclassstandardataverylowcostaffordabletoallsectionsofsociety.
Which is the Best Hospital in India for treatment of Spine?
IndiahasnotonebutmanybetterthanthebesthospitalsforSpinertreatment.Mailusyourmedical
reportandwewillfindthehospitalmostsuitabletotreatyourmedicalcondition.
Is it safe to get Spine Treatment and Surgery in India?
ThemedicalfraternityinIndiaisfamedforexcellence,andleadsinSpinesurgeries.Thousandsof
Spine operations are performed in India each year with maximum success rate, making the safety
obvious.
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