J Minim Invasive Spine Surg Tech.  2021 Apr;6(1):42-46. 10.21182/jmisst.2020.00220.

Transforaminal Percutaneous Endoscopic Lumbar Discectomy Through a Transfacet Approach: Detailed Surgical Technique

• Giacomini L
• Todeschini AB
• Miranda CEV
• Mathias RN
• Joaquim AF

• KMID: 2562081
• DOI: http://doi.org/10.21182/jmisst.2020.00220

Abstract

The percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive surgical approach described for the treatment of herniated lumbar disks. We aim to offer a brief anatomical review followed by a detailed and illustrated description of the transforaminal PELD technique using the Tom SHIDI endoscope and instrument set (MaxMoreSpine, Unterföhring, Germany).
The transforaminal PELD through a transforaminal approach using Tom SHIDI allows safe surgical treatment of most lumbar hernias thanks to the posterior entrance into Kambin's Triangle through a bony landmark allowing foraminoplasty to be performed using a manual drill. Careful surgical technique minimizes unforeseen complications and makes this a safe and viable alternative to conventional microdiscectomy.

Keyword

Lumbar disk herniation; Percutaneous transforaminal endoscopic discectomy; Spine surgery