Interlaminar Endoscopic Lumbar Discectomy

Interlaminar endoscopic lumbar discectomy (IELD) for lumbar disc herniation (LDH) is an excellent alternative to conventional open or microscopic surgeries. This technique allows direct endoscopic visualization of the neural tissue and herniated disc, enabling precise disc removal and preservation of spinal stability. However, it has a steep learning curve, and it is difficult to perform without a practical manual. This chapter discusses the technical aspects of interlaminar endoscopic lumbar discectomy, including its indications and contraindications, preoperative planning, surgical procedure, and complications.