Pain in the lower back is the most common cause of spinal disorders. Lumbar disc herniation or often referred to as lumbar nerve narrowing due to the discharge of the disc so that it presses on the nerves is the main cause of low back pain. The symptoms are severe pain, tingling, aches accompanied by pain that radiates from the waist down to the feet.
The operation for Lumbar Disc Herniation has evolved from Laminectomy, Microdiscectomy to Percutaneous Endoscopic Lumbar Discectomy (PELD). From conventional surgery with long incisions, to surgery using a microscope and now switching to using Endoscopy devices with very minimal incisions.
PELD is a Minimally Invasive surgical technique through the Transforaminal Posterolateral Approach, where all types of surgical instrumentation enter a Working Channel and can be seen directly with clear visualization through the Endoscope device.
Some of the advantages of surgery with the PELD technique are:
- Very minimal incision with good aesthetic value
- Does not require general anesthesia or general anesthesia
- Can communicate with the patient to identify needle insertion so as not to injure nerves
- Relatively short operating time and faster wound recovery
- Minimal damage to muscle tissue and ligament structures so that they can return to their activities more quickly and reduce morbidity due to surgery
- The complication rate is quite low
- Didn't lose much blood
- Can be combined with pain management techniques so that postoperative pain free
- It only takes 1 day of treatment in the hospital
From the various advantages of the PELD technique, it can be concluded that PELD is more efficient than other operating techniques and provides more satisfactory results.
Article written by a Neurosurgeon Specialist at EMC Sentul Hospital.