Expansion of the Subcutaneous Compartment by Umbilicus Resection for Intrathecal Pump Placement: The "Karagoz-Hacivat Technique".

Autor:	Isler C; Department of Neurosurgery, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul , Turkey., Cerci HM; Department of Neurosurgery, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul , Turkey., Baghaki S; Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Koc University, Istanbul , Turkey., Aydin YS; Department of Plastic and Reconstructive Surgery, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul , Turkey., Toklu S; Department of Neurosurgery, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul , Turkey.; Department of Neurosurgery, Erzurum City Hospital, Erzurum , Turkey., Hanci MM; Department of Neurosurgery, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul , Turkey.
Jazyk:	angličtina
Zdroj:	Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2024 Oct 01; Vol. 27 (4), pp. 415-423. Date of Electronic Publication: 2024 Mar 27.
DOI:	10.1227/ons.0000000000001131
Abstrakt:	Background and Objectives: Intrathecal baclofen (ITB) for severe spasticity can encounter complications such as wound dehiscence and ulcers because of elevated intracompartmental pressure within the abdominal subcutaneous and subfascial pocket housing the pump. We propose an innovative technique to manage ITB wound ulcers. Methods: Resecting the umbilicus create a more spacious and less tension-prone pocket for the ITB pump. Results: Between 2015 and 2023, we implanted ITB pumps in 65 patients. Among them, 5 patients presented with skin ulcer or dehiscence underwent surgery using the novel technique. Postoperative follow-up revealed successful wound healing, with no further wound-related complications. Conclusion: The proposed technique provides effective and practical solution to wound and skin complications related to ITB pump. Moreover, it may serve as a viable preemptive strategy during the initial implantation of the ITB pump in selected patients. (Copyright © Congress of Neurological Surgeons 2024. All rights reserved.)
Databáze:	MEDLINE
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