Publication:
Subfascial expansive plasty for intrathecal baclofen pump replacement. A technical note.

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Date

2015-05-03

Authors

Pancucci, Giovanni
Perez-Prat, Gustau
Rivero-Garvía, Monica
Mayorga-Buiza, Maria Jose
Marquez-Rivas, Javier

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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.

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MeSH Terms

Baclofen
Equipment Failure
Fasciotomy
Humans
Infusion Pumps, Implantable
Male
Neurosurgical Procedures
Paraparesis, Spastic
Spinal Cord
Young Adult

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Keywords

Baclofen, Intrathecal injection, Muscle spasticity

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