Portable Endolifte laser diode 980/980nm+1470nm laser for PLDD

Minimally Invasive Treatment for Contained Lumbar Disc Herniation

In the past, treatment for severe sciatica required invasive lumbar disc surgery. This type of surgery carries more risk, and the recovery time can be long and difficult. Some patients who undergo traditional back surgery can expect a recovery time of 8 to 12 weeks.

Percutaneous laser disc decompression, also referred to as PLDD, is a minimally invasive treatment for contained lumbar disc herniation. Since this procedure is completed percutaneously, or through the skin, the recovery time is much shorter than traditional surgery. Many patients are able to return to work within a few days of the procedure.'

- Intra-discal application on cervical spine,  thoracic spine, lumbar spine      
- Medial branch neurotomy for facet joints      
- Lateral branch neurotomy for sacroiliac joints

 

Treatment Handlepiece: 

How Percutaneous Laser Disc Decompression (PLDD) Works

PLDD works by evaporating water in the nucleus pulposus, the inner core of the vertebral disc. This excess fluid presses on the sciatic nerve, causing pain. By removing this fluid, the pressure is lessened on the sciatic nerve, bringing relief.

In this procedure, fluoroscopy is used to identify the herniated disc. A needle is then placed into the intervertebral disc using local anesthesia. The laser fiber is fed through the needle to the affected disc, evaporating the excess fluid. The patient is sent home to recover and is usually back on their feet within just a few short days.

This procedure has been shown to be safe and effective, is performed in an outpatient setting, and results in no scarring or spinal instability. Should future issues arise, the PLDD procedure does not limit the patient's ability to receive other treatments. It can also be used when other surgical procedures have failed.

Benefits of the minimally  invasive PLDD procedure

- Local anaesthesia allows the treatment of patients at risk.    
- Very short operating time compared with open procedures    
- Low rate of complications and postoperative inflammation(No soft tissue injury,No risk of epidural fibrosis or scarring)    
- Fine-needle with very small puncture site and therefore  no need for sutures    
- Immediate significant pain relief and mobilization    
- Shortened hospital stay and rehabilitation    
- Lower costs

PLDD procedure is performed using local anesthesia. Optical fiber is inserted in special cannula under fluoroscopic guidance.After applying contrast to the facet it is possible to check cannula's position and the condition of the disc bulge. Starting laser initiates decompression and lowers intradiscal pressure.

The procedure is done from the posterior-lateral approach with no interference to vertebral canal,therefore,there is no possibility of damaging a reparative treatment,but there is no possibility to reinforce annulus fibrosus. DUring PLDD disc volume is minimally decreased,however,disc pressure can be significantly lowered. In case of using laser to disc decomperssion,small amount of nucleus pulposus evaporates.

Company Profile

 

Feedback

FAQ

1: WHAT IS PLDD?
The pldd (percutaneous laser disc decompression) is a not-surgical technique but truly minimal invasive interventional procedure for the treatment of a 70% of the disc hernia and 90% of the disc protrusions (these are small disc hernia that sometimes are very painful and do not respond to the most conservative therapies as pain killers, cortisonic and physical therapies and so on).

2: HOW DOES THE PLDD WORK?
It uses local anesthesia, a tiny needle and a laser optical fiber. It is practicated into the operating room with the patient in the lateral position or prone (for lumbar disk) or supin (for cervical). Firstly the local anesthesia in an exact point of the back (if lumbar) or of the neck (if cervical) is done, then a tiny needle is inserted through the skin and muscles and this, under radiological control, reaches the center of the disc (called nucleus pulposus). At this point the laser optical fiber is inserted inside the tiny needle and i start to delivery the laser energy (heat) that vaporizes a very small amount of the nucleus pulposus.
This determines a decrease of 50-60% of the intra discal pressure and therefore also the pressure that disc hernia or protrusion exercises on the nerve root (cause of pain).
 

3: HOW MUCH TIME TAKES THE PLDD? IS A SINGLE SESSION ?
Every pldd (i can also treat 2 disks at the same time) takes from 30 to 45 minutes and there is only one session .

4 : PATIENT FEEL PAIN DURING PLDD?
If made in experienced hands the pain during the pldd is minimum and only for few seconds: it comes at the time when the needle cross the anulus fibrous of the disc (the most external part of the disc). The patient, who is always awake and collaborating, must be adviced at that time to avoid rapid and unexpected movement of the body which he / she could make in reaction at the same short pain. Many patients do not feel pain during all the procedure.

5: DOES PLDD HAVE IMMEDIATE RESULTS?
In 30% of cases the patient feels immediate improvement of pain that then improves further and gradually in the following 4 to 6 weeks. In 70% of cases often there are "up and down pain" with "old" and "new" pain in the following 4 - 6 weeks and a serious and reliable judgment on the success of pldd is given only after 6 weeks. When the success is positive, the improvements can continue up to 11 months after the procedure.