Percutaneous endoscopic lumbar discectomy (PELD) is a surgical procedure used for the decompression of the lumbar disc space and removal of nucleus pulposus (the central portion of an intervertebral disc) via a posterolateral approach, through a cannula. The method is recommended for patients with nonsequestrated lumbar disc herniation with an intact dorsal longitudinal ligament.
Percutaneous endoscopic lumbar discectomy (PELD) is a step advance from lumbar microdiscectomy, and is used for safe and sparing excision of herniated disc material. In local anesthesia, a cannula is placed at the dorsal lateral border of the disc. The disc space is opened and the nucleus pulposus is removed under intermittent endoscopic control (discoscopy).
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