Revolutionizing Spine Care: P-ELD/MIPSI Surgery

By Dr. Om Patil – Spinewala | Your Back In Action

Back and leg pain caused by slipped discs, spinal canal narrowing, or nerve compression can severely impact quality of life. For decades, patients had to undergo open spine surgeries involving large incisions, muscle cutting, and long recovery times.

Today, modern spine surgery has been revolutionized by techniques like P-ELD (Percutaneous Endoscopic Lumbar Discectomy) and MIPSI (Minimally Invasive Percutaneous Spine Intervention) — offering precision, less pain, faster recovery, and a quicker return to normal life.

What is P-ELD?

Percutaneous Endoscopic Lumbar Discectomy is a keyhole spine procedure where a surgeon removes herniated disc material using a thin endoscope inserted through a tiny incision — often less than 1 cm.

Benefits:

• Performed under local anesthesia in selected cases

• Minimal tissue damage – muscles are preserved

• Shorter hospital stay – many patients go home the same day

• Rapid return to work and activities

What is MIPSI?

Minimally Invasive Percutaneous Spine Intervention is a broader category that includes advanced spine procedures performed through small incisions using specialized tubes and microscopes/endoscopes.

It covers interventions for:

• Disc herniations

• Spinal canal stenosis

• Certain types of spine fractures

• Nerve decompression

  
  

Benefits:

• Less blood loss compared to open surgery

• Smaller scars and less postoperative pain

• Reduced infection risk

• Faster rehabilitation

How These Surgeries Are Changing the Game

1. Patient Comfort First

Tiny incisions and less tissue disruption mean minimal postoperative discomfort. Many patients walk within hours of surgery.

2. Local or Regional Anesthesia Options

In selected cases, especially elderly or medically fragile patients, P-ELD can be done under local anesthesia, avoiding the risks of general anesthesia.

3. Same-Day Discharge

Short hospital stays save time, reduce costs, and lower infection risks.

4. Faster Return to Life

With proper rehabilitation, patients often resume light work within days and full activities in weeks — not months.

Who Can Benefit?

• Patients with slipped disc causing leg pain (sciatica)

• Spinal canal narrowing causing neurogenic claudication

• Those seeking alternatives to traditional open spine surgery

• Patients wanting less downtime and faster recovery

The Bottom Line

P-ELD and MIPSI represent the future of spine surgery — smaller incisions, bigger results. With the right patient selection and an experienced spine surgeon, these techniques can restore mobility, reduce pain, and get you back to enjoying life much sooner.

If back or leg pain is holding you back, it’s time to explore whether minimally invasive spine surgery could be your path to recovery.

Dr. Om Patil – Spinewala | Your Back In Action

Precision Spine Surgery. Faster Recovery. Better Living.