Use of Polyvinyl Alcohol Sponge Cubes for Vagal Nerve Stimulation: A Suggestion for the Wrapping Step. Technical Note and Step-by-Step Operative Technique
| Autor: | Romain Carron, Fabrice Bartolomei, Aileen McGonigal, Hussein Hamdi, Alain Bizeau, Giorgio Spatola, Armando Paz-Paredes, Stanislas Lagarde |
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| Přispěvatelé: | Hôpital de la Timone [CHU - APHM] (TIMONE), Institut de Neurosciences des Systèmes (INS), Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de neurophysiologie clinique [Hôpital de la Timone - APHM], Epilepsies, Lesions Cerebrales et Systemes Neuraux de la Cognition, Université de la Méditerranée - Aix-Marseille 2-Institut National de la Santé et de la Recherche Médicale (INSERM), European Synchrotron Radiation Facility (ESRF), Tanta University, Centre Hospitalier Intercommunal Toulon-La Seyne sur Mer - Hôpital Sainte-Musse, ANR-11-IDEX-0001,Amidex,INITIATIVE D'EXCELLENCE AIX MARSEILLE UNIVERSITE(2011), Institut National de la Santé et de la Recherche Médicale (INSERM)-Aix Marseille Université (AMU) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Vagus Nerve Stimulation AcademicSubjects/MED00930 Vagal nerve Neuros/3 Wrapping Operative Technique 03 medical and health sciences 0302 clinical medicine medicine Humans Polyvinyl alcohol sponge ComputingMilieux_MISCELLANEOUS 030304 developmental biology 0303 health sciences Surgical microscope Epilepsy business.industry [SCCO.NEUR]Cognitive science/Neuroscience Surgical Sponges Ethics committee Technical note Operative 3. Good health Surgery Step-by-step Polyvinyl Alcohol Technique Neurology (clinical) Implant business Vagal nerve stimulation 030217 neurology & neurosurgery |
| Zdroj: | Operative Neurosurgery Operative Neurosurgery, Oxford University Press, 2019, ⟨10.1093/ons/opz227⟩ Operative Neurosurgery, 2019, ⟨10.1093/ons/opz227⟩ |
| ISSN: | 2332-4252 2332-4260 |
| DOI: | 10.1093/ons/opz227⟩ |
| Popis: | International audience; BACKGROUND Vagal nerve stimulation (VNS) is an approved treatment for epilepsy and depression. Wrapping the helical electrodes around the nerve can prove technically challenging. However, a quick and efficient method to slightly elevate the nerve can highly facilitate this part of the procedure.OBJECTIVE To provide useful surgical tips to facilitate the procedure.METHODS Based on experience of more than 150 adult cases for mainly epilepsy (primary lead implant), the authors share their surgical technique to provide the experienced surgeons or newcomers to the field of VNS with some useful tips. All patients signed informed consent according to the local ethics committee guidelines.RESULTS The article consists of a detailed step-by-step description of the whole procedure illustrated through high-resolution colored photographs of the surgical field. Special reference is made to the usefulness of polyvinyl alcohol (PVA) sponge cubes to elevate the nerve instead of the commonly used silicon vessel loops.CONCLUSION The use of surgical microscope and PVA sponge cubes to elevate the nerve constitute key points to make VNS an easy surgery |
| Databáze: | OpenAIRE |
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