RT Journal Article
T1 Subfascial expansive plasty for intrathecal baclofen pump replacement. A technical note.
A1 Pancucci, Giovanni
A1 Perez-Prat, Gustau
A1 Rivero-Garvía, Monica
A1 Mayorga-Buiza, Maria Jose
A1 Marquez-Rivas, Javier
K1 Baclofen
K1 Intrathecal injection
K1 Muscle spasticity
AB 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.
YR 2015
FD 2015-05-03
LK http://hdl.handle.net/10668/9794
UL http://hdl.handle.net/10668/9794
LA en
DS RISalud
RD Apr 17, 2025