Minimally Invasive Spine & Pain Interventions

Transforaminal Endoscopic Discectomy

The main aspect of TELD is being a “bypass surgery.” This implies a direct approach to the pathologic disc through a safe foraminal window. Open lumbar discectomy or microdiscectomy requires a linear skin incision, paraspinal muscle retraction, partial or extensive laminectomy, and dural sac retraction to approach the herniated disc fragment. Therefore, considerable musculoskeletal or neural injuries may occur during the surgical approach. However, the transforaminal endoscopic approach provides rapid access to the herniated disc while bypassing the normal bony structures and paraspinal soft tissues.

What is a Endoscopic Transforaminal Lumbar Disectomy?

Percutaneous means surgery is performed through a needle puncture, instead of a large skin incision. The use of a needle allows the surgeon to access the disc through a tiny opening in the skin and through natural openings in the spine. Once the needle is in place it is exchanged for a small tube that allows an endoscope to pass through it. Endoscopic means that the surgeon performs the procedure through a channel in the endoscope, while watching with the endoscope camera.


  • Daycare Surgery
  • Without anesthesia
  • Stitchless surgery
  • The patient goes home walking with complete pain relief on the same day

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