Publication: Subfascial expansive plasty for intrathecal baclofen pump replacement. A technical note.
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Identifiers
Date
2015-05-03
Authors
Pancucci, Giovanni
Perez-Prat, Gustau
Rivero-Garvía, Monica
Mayorga-Buiza, Maria Jose
Marquez-Rivas, Javier
Advisors
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Abstract
Although intratechal pump replacement is a common technique, it can be sometimes complicated when aiming to replace a 20 ml pump with a bigger one (40 ml). We developed a simple and straightforward technique to relax the wall of the pocket of the pump, preserving its fascial layer. A 20-year-old boy with spastic tetraparesia was admitted for pump replacement. After scar opening and pump removal, various lineal incisions were performed in the posterior layer of the subfascial pocket in a cranio-caudal direction. A 40 ml pump was placed without skin incision ampliation and preserving subfascial plane. This easy, expansive technique for infusion pump replacement preserves subfascial plane and prevents the need for more extensive surgeries.
Description
MeSH Terms
Baclofen
Equipment Failure
Fasciotomy
Humans
Infusion Pumps, Implantable
Male
Neurosurgical Procedures
Paraparesis, Spastic
Spinal Cord
Young Adult
Equipment Failure
Fasciotomy
Humans
Infusion Pumps, Implantable
Male
Neurosurgical Procedures
Paraparesis, Spastic
Spinal Cord
Young Adult
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CIE Terms
Keywords
Baclofen, Intrathecal injection, Muscle spasticity