Minimally invasive slipped disc surgery also known as percutaneous endoscopic lumbar discectomy (PELD) is quite a unique approach which is getting popular among the patients who are having spinal problems. It is performed on lumbar disc of the spinal cord to remove a portion of the damaged disc. PELD is also a good treatment option for people with spinal tumors and structural deformities and also for the patients who are not responding well to the conservative treatments such as pain killers, anti-inflammatory medications or physiotherapy.
Patient with chronic lower back pain (most commonly caused due to herniated disc) are more suitable for this type of surgery.
Some of the other spinal problems that can be treated through the PELD are:
• Degenerated discs
• Bulging discs or herniated discs
• Chronic lower back pain
• Spinal tumors or lesions
• Structural deformities of the spine
There are many advantages of Percutaneous endoscopic lumbar discectomy (PELD). Some of them are:
• surgery can be done under local anesthesia
• smaller skin incision
• less chances of injury to muscle or nerve
• faster recovery time
• less chances of infections
Patient requires undergoing several tests that may include few blood tests, MRI, CT scan, X-rays and overall health of the patient to determine the cause and seriousness of the disease. Patient should quit smoking and make some dietary changes that can hinder the recovery process.
During the surgery, patient will be given anesthesia and mild sedation through the intravenous line and made to lay on his/her front on the surgery table. Surgeon will then make a small incision in the lower back to remove the lumbar disc. This surgery can be done in two ways by which inter-vertebral disc is removed: manual or by using laser.
• Manual procedure – also known as automated percutaneous discectomy. A long spinal needle is inserted from side of the back directly into the disc bypassing the other bone and ligament structures. A wire is guided through the spinal needle and endoscope to which a tiny camera is attached is inserted after making an incision to visualize the removal of the prolapsed part of disc.
• Laser surgery – also known as percutaneous laser discectomy uses a fluoroscope to direct the probe through which the laser energy is passed that vaporizes a part of inter-vertebral disc and helps in decompression of the nerve root. After the surgery is done, surgeon will close the wound with stitches.
Percutaneous endoscopic lumbar discectomy or PELD surgery can be done within an hour. Patient is kept under observation for a day or two. Doctor will recommend some medications to relieve discomfort and pain. Patient will be advised to avoid strenuous physical work and should go for physiotherapy to fasten the recovery. He/she may resume daily activities after about weeks. The follow up visits with doctor are also important to know about the progression.
PELD is less invasive surgery but can still involve few risks that may include:
• Risk of infection
• Blood clots
• Worsening pain
• Blood vessel damage
Surgeons in India are specialized in percutaneous endoscopic lumbar discectomy surgery and hospitals are equipped with advance operating tools for instrumental surgery. They provide high quality surgery at the lowest cost.