APLD is the least invasive form of removal of protruding disc through an automated cutting and sucking apparatus. This is even less invasive than the Endoscopic micro discectomy. There is no cutting of bone i.e., no laminectomy or laminotomy. It is a day care procedure and the patient is discharged within a couple of hours from the hospital. It is very useful in all patients, but particularly in elderly in whom certain associated co morbidities like cardiac diseases, renal dysfunction etc makes a high risk surgery under anesthesia. Since all the above conditions are conducted under local anesthesia, there are the least chances of altering the normal physiological balance of the patients. Except for the mild pain as associated with any procedure and the remote chances of infection, there are hardly any adverse effects attributed to these procedures.
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