Percutaneous Endoscopic Lumbar Discectomy (PELD) Surgery in India

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Percutaneous Endoscopic Lumbar Discectomy (PELD)
Surgery in India Percutaneous Endoscopic Lumbar
Discectomy (PELD) is quite 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. 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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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 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.

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How is a PELD procedure performed? Percutaneous
Endoscopic Lumbar Discectomy is a minimally
invasive day care procedure which is performed
under local anesthesia 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 patients 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 (HoYAG) 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.

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• Advantages of PELD (Percutaneous Endoscopic
  Lumbar Discectomy)
• Surgery done under local anesthesia with
  conscious sedation
• Very good technique for old and medically
  compromised patients.
• No muscle, ligament or normal tissue damage
• 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.
• Even prolapsed, migrated, extra-foraminal,
  recurrent discs can be removed.
• Very good technique for old and medically
  compromised patients.
• Even prolapsed, migrated, extra-foraminal,
  recurrent discs can be removed.

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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
cost in countries like US.

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FAQ - Spine Surgery 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 symptomatic despite all conservative
treatments. Generally, patients try conservative
treatments for between 2 and 6 months. If after
this trial of conservative treatment patients
continue to have severe pain, surgery is an
excellent option. Surgery becomes "necessary"
when patients develop signs and symptoms of
progressive nerve damage ie, increasing muscle
weakness or worsening nerve damage. 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 most
extensive Spine -diagnostic and imaging
facilities including Asias most advanced MRI and
X-rays technology. Personalized care and
attention is provided with value added services
besides results of world class standard at a very
low cost affordable to all sections of
society. Which is the Best Hospital in India for
treatment of Spine? India has not one but many
better than the best hospitals for Spine r
treatment. Mail us your medical report and we
will find the hospital most suitable to treat
your medical condition. Is it safe to get Spine
Treatment and Surgery in India? The medical
fraternity in India is famed for excellence, and
leads in Spine surgeries. Thousands of Spine
operations are performed in India each year with
maximum success rate, making the safety obvious.

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