Video-assisted sacral nerve stimulation.

Details

Serval ID
serval:BIB_9CAB0027279E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Video-assisted sacral nerve stimulation.
Journal
Techniques in Coloproctology
Author(s)
Hetzer F.H., Hahnloser D., Clavien P.A., Demartines N.
ISSN
1123-6337 (Print)
ISSN-L
1123-6337
Publication state
Published
Issued date
2006
Peer-reviewed
Oui
Volume
10
Number
2
Pages
121-123; discussion 123-124
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
BACKGROUND: Sacral nerve simulation (SNS) is an accepted therapy for patients with urinary or bowel dysfunction. However, infection rates are as high as 20% and can result in removal of the expensive device. We present a new video-assisted technique minimizing the risk of infection.
METHODS: Between April and July 2005, six consecutive women of median age 68 years (range, 60-74), with faecal incontinence (4 patients) and idiopathic constipation (2 patients) underwent video-assisted electrode implantation for SNS. The motor response of the pelvic floor during percutaneous nerve evaluation and implantation of the permanent lead was monitored by a video optic (same as that normally used for laparoscopic or endoscopic procedures) placed between the legs of the patients. The video optic and the perianal area were completely covered with drapes, separating them from the operating field.
RESULTS: All but one screening was successful, and no wound infections at the electrode or at the pocket of the stimulator were noted (mean postoperative follow-up, 8 weeks).
CONCLUSIONS: With the use of a video optic, the anus and the implantation site can be completely separated and contamination during the operation becomes unlikely. Furthermore, the response of the pelvic floor to the stimulation is better visualized. We routinely recommend the use of video equipment for SNS electrode implantation.
Keywords
Aged, Constipation/therapy, Electric Stimulation Therapy/instrumentation, Electrodes, Implanted, Fecal Incontinence/therapy, Female, Follow-Up Studies, Humans, Lumbosacral Plexus, Middle Aged, Prosthesis Implantation/methods, Video-Assisted Surgery
Pubmed
Create date
28/01/2008 8:53
Last modification date
20/08/2019 15:03
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