Procedure Of Percutaneous Endoscopic Lumbar Discectomy

Procedure for percutaneous endoscopic lumbar discectomy

The procedure for percutaneous endoscopic lumbar discectomy (PELD) can be described as the following steps:

Step 1: Preparations before the procedure

Before the endoscopic discectomy, the patient will go through a thorough evaluation for their medical history and symptoms to ensure they are suitable for the procedure. Advanced imaging techniques, such as MRI or CT scans are then used to precisely locate and evaluate the extent of the disc herniation, guiding the surgical approach.

PELD is usually performed with local anesthesia so that the patient stays awake but feels, which helps reduce risks and shortens recovery time. Although the patient remains awake during the procedure (which can be daunting for some), this allows for real-time adjustments and feedback, enhancing the overall effectiveness of the surgery.

Step 2: During the procedure

The surgery is done by the following order:

• Patient positioning: The patient is guided to lie face down on the operating table so that the surgeon can access the lower back easily.
• Skin incision: A tiny cut, usually less than 1cm long, is made where the disc problem is located. This small incision is a major benefit of PELD, which leads to faster recovery.
• Endoscope insertion: The endoscope, which is a thin tube with a camera and light, is inserted through the cut. This allows the surgeon to see the disc problem clearly during the surgery.
• Disc removal: Special tools are used to carefully remove the herniated part of the disc. This step must be done with great care to relieve pressure on the nerves without damaging other areas.
• Closure: Once the disc material is removed and the nerves are relieved, the cut is closed with stitches or surgical glue.

Step 3: After the procedure

After the procedure, the patient is closely observed in a recovery room to detect and address any potential complications right away. However, you won’t have to wait for too long because generally, most patients can go home the same day, showing how minimally invasive the procedure is.

Recovery time after percutaneous endoscopic lumbar discectomy

Recovery is a key part of healing and often involves several steps to ensure everything goes well. Below are some important things to keep in mind during your recovery after this endoscopic surgery:

Right after the surgery

• Observation: Patients are observed for a few hours after the surgery to make sure there are no immediate issues. Any pain or discomfort is managed with medication.
• Mobilization: Patients are encouraged to start moving soon after surgery. They might be helped to stand and walk a few hours later.
• Discharge: Most patients can go home either the same day or the next day, depending on how well they're doing.

The first few weeks

• Activity restrictions: Avoid heavy lifting, bending, or twisting to help your spine heal properly.
• Follow-up appointments: Regular check-ups with your surgeon help track your progress and address any issues.
• Physical therapy: You may start a tailored physical therapy program to regain strength and flexibility.

Long-term recovery

• Gradual return to activities: Over the next 4-6 weeks, you can gradually get back to your normal activities. Pay attention to your body and don’t put yourself too hard.
• Lifestyle changes: Use ergonomic practices at work and home, keep a healthy weight, and exercise regularly to help prevent future back problems.

Outcome and Success Rate

Percutaneous endoscopic lumbar discectomy is considered an effective and safe endoscopic therapy with a high success rate and. Most patients feel much less pain and see a big improvement in how they can move and function.

By understanding the procedure of percutaneous endoscopic lumbar discectomy, you will be better prepared both mentally and physically. If you have any further questions about this procedure, please contact Viet Phap Hospital for further information.