PELD (Percutaneous Endoscopic Lumbar Discectomy) is an endoscopic spine surgery to remove the slipped disc material. It is a day care procedure wherein a small incision is made through the skin without the need for cutting the bone or muscle. The procedure is performed under local anaesthesia and the patient is awake and aware of the entire procedure.
PELD is an endoscopic surgery done through percutaneous route (an incision through the skin). The surgeon makes a percutaneous incision and inserts a needle between the vertebrae and into the middle of the disc that dilates the path into the disc space. Through this dilated path, the surgeon then inserts the endoscope. Under endoscopic guidance and visualization, he removes or melts herniated disc material with the help of forceps, radio frequency probe or laser.
Full endoscopic spine surgery is the most patient-friendly procedure in which spinal herniation and bony constriction can be removed while at the same time neighboring tissues are preserved. The procedure relieves the pressure acting on the nerve, stops the inflammatory response and brings the pain to an end.