Spinal disorders such as herniated discs and pinched nerves are among the most common causes of chronic back and leg pain. Referring to the report from pafikutaikab.org for decades, open spinal surgery was considered the standard treatment but it often required large incisions, long recovery times, and significant post-operative pain. Today, a new technique called PECD Uniportal (Percutaneous Endoscopic Cervical Discectomy) is transforming spinal care with its minimally invasive approach.
What Is PECD Uniportal?
PECD Uniportal is a minimally invasive spinal surgery that uses an endoscope — a small camera-equipped tube to remove herniated disc material that compresses spinal nerves. Unlike traditional surgery, which requires large incisions and muscle dissection, PECD Uniportal uses a single small incision, usually less than 1 centimeter.
Dr. Raymond Lee, a neurosurgeon from the National Spine Center in Singapore, explains, “Through this small entry point, we can directly access the affected area using advanced endoscopic tools, reducing trauma to surrounding tissues. The result is faster healing and less post-operative pain.”
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How It Works
During the procedure, surgeons insert the endoscope through the uniportal access and visualize the affected disc on a monitor in real time. Using precise instruments, they carefully remove the disc fragments pressing on the nerve. The entire surgery typically lasts about one hour and is performed under local or general anesthesia.
Because it involves minimal muscle damage, patients can often walk within hours after the procedure and are discharged the same or next day. “In many cases, patients can return to light activities within a week,” says Dr. Lee.
Advantages of PECD Uniportal
- Smaller Incision, Minimal Scarring
The single small incision reduces the risk of infection and leaves almost no visible scar. - Faster Recovery Time
Patients recover more quickly compared to traditional open surgery, which can take several weeks or months. - Reduced Pain and Blood Loss
With less tissue disruption, patients experience significantly less post-surgical pain and minimal blood loss. - Lower Risk of Complications
The precision of endoscopic visualization helps surgeons avoid damaging healthy structures.
“PECD Uniportal is especially beneficial for elderly patients or those with medical conditions that make them poor candidates for open surgery,” Dr. Lee adds.
Who Can Benefit from PECD Uniportal?
This technique is primarily used to treat herniated discs, spinal stenosis, and pinched nerves in both the cervical (neck) and lumbar (lower back) regions. It’s recommended for patients who have persistent nerve pain, numbness, or weakness that does not improve with medication or physical therapy.
However, not all spinal problems can be treated using PECD Uniportal. “Careful diagnosis is essential,” Dr. Lee explains. “Imaging tests like MRI are used to determine whether the condition is suitable for this approach.”
The Future of Spinal Surgery
PECD Uniportal represents the next step in the evolution of spinal surgery — combining high precision with patient comfort. As technology continues to advance, more hospitals across Asia and Europe are adopting this method as part of their standard care for spinal disorders.
“Minimally invasive techniques like PECD Uniportal are redefining how we treat spinal problems,” says Dr. Lee. “Patients no longer need to fear long recoveries or large surgical scars. They can regain mobility and quality of life much sooner.”
With its combination of safety, precision, and quick recovery, PECD Uniportal is revolutionizing the way doctors treat herniated discs and pinched nerves. It offers new hope for patients seeking effective spinal treatment — without the burden of traditional surgery.
Source: Persatuan Ahli Farmasi Indonesia
