Buttock placement of the implantable pulse generator: a new implantation technique for sacral neuromodulation--a multicenter study.

Détails

ID Serval
serval:BIB_1CB1674D81BE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Buttock placement of the implantable pulse generator: a new implantation technique for sacral neuromodulation--a multicenter study.
Périodique
European Urology
Auteur(s)
Scheepens W.A., Weil E.H., van Koeveringe G.A., Rohrmann D., Hedlund H.E., Schurch B., Ostardo E., Pastorello M., Ratto C., Nordling J., van Kerrebroeck P.E.
ISSN
0302-2838 (Print)
ISSN-L
0302-2838
Statut éditorial
Publié
Date de publication
2001
Volume
40
Numéro
4
Pages
434-438
Langue
anglais
Notes
Publication types: Clinical Trial ; Comparative Study ; Journal Article ; Multicenter StudyPublication Status: ppublish
Résumé
OBJECTIVE: In the standard operation procedure for sacral neuromodulation, the implantable pulse generator (IPG) is implanted in a subcutaneous pocket at the lower part of the anterior abdominal wall. This procedure requires a long operation time and three incisions. With the IPG in the abdominal wall, some patients complain of displacement or pain at the IPG site postoperatively. By modifying the technique of placement of the IPG, these disadvantages are overcome.
METHODS: Between August 1999 and July 2000, 39 patients underwent a buttock implant of the IPG. In 2 of these patients the position of the IPG was changed from abdominal region to the buttock. During follow-up, complications concerning the operation and location of the IPG were compared to the published literature.
RESULTS: Operation time is reduced in all patients by approximately 1 h. No repositioning of the patient is required during surgery. Only a short subcutaneous tunnel is required to connect the lead to the IPG. Pain at the level of the IPG was noted in 10% of the patients, which needed no further treatment. No infections were seen and the IPG did not displace postoperatively.
CONCLUSION: Buttock placement of the IPG in sacral nerve stimulation leads to shorter operation time; only two incisions are needed instead of three and a shorter subcutaneous tunnel is needed. Using this technique there are less complications and a lower re-operation rate.
Mots-clé
Adult, Aged, Buttocks/surgery, Electric Stimulation Therapy/methods, Electrodes, Implanted, Humans, Lumbosacral Plexus, Middle Aged, Postoperative Complications, Reoperation, Treatment Outcome, Urinary Incontinence/therapy, Urinary Retention/therapy
Pubmed
Web of science
Création de la notice
05/11/2014 13:12
Dernière modification de la notice
03/03/2018 14:32
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