Percutaneous endoscopic lumbar discectomy is the ultimate form of minimal invasive spine surgery. In this form of surgery, an instrument called endoscope is used. Whole surgery is done under local anesthesia and patient is fully awake during surgery. In fact for successful surgery patients active participation is necessary.
Patient is made to lie prone on operation table and exact entry point is mapped on patients body using image intensifier x-ray system. A long spinal needle is passed from side of back which goes into disc directly by-passing other bone and ligaments. Through this needle guide wire is passed and after taking 5mm incision, dilator and working cannula are passed under local anesthesia., through which endoscope is passed. Camera and monitor is attached to endoscope and prolapsed part of disc is removed under vision. Wound is closed with single stitch. Patient gets immediate pain relief and he can go home in 24 hrs and can resume his work soon.
Percutaneous endoscopic lumbar discectomy is the ultimate form of minimal invasive spine surgery. It is an endoscopic daycare surgical procedure which is conducted in about 60 minutes, under local anesthesia with mild sedation. Patient is made to lie on his front on the operation table and exact entry point is mapped on patient’s body using image intensifier x-ray system. A small incision is made about 8-10 centimeters from the midline on the posterior part of the body. Now there are two different ways in which the inter-vertebral disc material can be removed (i.e. manually or using laser).
Manual Procedure – also known as automated percutaneous discectomy involves insertion of a long spinal needle from side of back, directly into the disc, by-passing other bone and ligaments. Through this needle, guide wire is passed and after taking 5mm incision, dilator and working cannula are passed, through which endoscope is inserted. Camera and monitor is attached to endoscope and prolapsed part of disc is removed under vision.
The Laser Surgery – is referred to as percutaneous laser discectomy (PLD), which uses an external imager called the fluoroscope to direct the probe. The probe delivers laser energy which vaporizes a part of the inter-vertebral disc material and decompresses the nerve root. The most frequently used laser for treatment is Holmium yttrium- aluminum-garnet (Ho:YAG) laser.
In either procedure, the wound is closed with single stitch. Patient gets immediate pain relief and he can go home in 24 hrs and can resume his work soon.
My brother was suffering severe back pain. I showed it to local doctors in my home country and they were of the opinion that my brother might need a spinal disc surgery. But there are no good hospital or facility for such surgery in my home country. Then I started to search for hospital outside my country for the treatment. The hospitals in South Africa quoted a huge amount for the treatment which was beyond my reach. Then one of my friends told me about India. He told that there are good hospitals and doctors in India and the cost is low.
I searched on the internet and I found IndiaCarez website. I filled up the form on the website. I got a call from the case manager and she told me to send the medical reports of my brother. I sent the reports by mail and the case manager got back to me with the opinion doctor and the treatment package. She was very kind and explained me in detail about the package and traveling to India for Spine surgery. The quote was affordable to me and I was satisfied with the profile of the treating doctor.
On the day I and my brother came to India, people from the hospital came to receive us at the airport. They took us directly to the hospital and to our surprise a room was already booked for us and was kept ready. All our admission formalities were done in the room and we were made comfortable. I had never seen such caring services in hospitals back home in my country. I and my brother were seen by a team of doctors the next day and a series of tests were carried out. The surgery was planned and it went on successfully. Doctors were great and very polite. They explained everything very clearly.
We stayed in India for few more days for follow up. Overall it was a great experience. My brother is doing well and I am extremely grateful to the doctors. I thank everyone who helped me and my brother at every step.”
Ms A. Shehu Tangaza – Minimally Invasive Spine Surgery
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