Laparoscopic endopelvic sacral implantation of a Brindley controller for recovery of bladder function in a paralyzed patient

Vito Chiantera, Vito Chiantera, Marc Possover, Kaufmann, Baekelandt

Risultato della ricerca: Article

5 Citazioni (Scopus)

Abstract

Background: A number of techniques are being investigated to accomplish bladder control recovery in paralyzed patients using the neurostimulation, but currently, all techniques are based on the dorsal implantation of the electrodes using a laminectomy. Methods: On 27 April 2006 we performed a laparoscopic implantation of a Finetech-Brindley bladder controller on the endopelvic sacral roots in a Th8 completely paralyzed woman who had previously undergone the removal of a Brindley controller due to an arachnoiditis after extrathecal implantation with intradural sacral deafferentation. Results: We required about 3.5 h for the entire surgical procedure; no complications occurred and the patients went home on 5th postoperative day. The patient is now able to void empty her bladder and her rectum using the controller without further need for self-catheterisation. Conclusions: The presented new technique of laparoscopic implantation of electrodes on the endopelvic portion of the sacral nerve roots is an option to be considered in all paralyzed patients with further wish for electrical induced miction/defecation after previous deafferentation. © 2008 International Spinal Cord Society All rights reserved.
Lingua originaleEnglish
pagine (da-a)70-73
Numero di pagine4
RivistaSpinal Cord
Volume46
Stato di pubblicazionePublished - 2008

Fingerprint

Recovery of Function
Urinary Bladder
Electrodes
Arachnoiditis
Defecation
Laminectomy
Rectum
Catheterization

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cita questo

Laparoscopic endopelvic sacral implantation of a Brindley controller for recovery of bladder function in a paralyzed patient. / Chiantera, Vito; Chiantera, Vito; Possover, Marc; Kaufmann; Baekelandt.

In: Spinal Cord, Vol. 46, 2008, pag. 70-73.

Risultato della ricerca: Article

@article{4f9d3475fc654469ad44d70aa2ed22e0,
title = "Laparoscopic endopelvic sacral implantation of a Brindley controller for recovery of bladder function in a paralyzed patient",
abstract = "Background: A number of techniques are being investigated to accomplish bladder control recovery in paralyzed patients using the neurostimulation, but currently, all techniques are based on the dorsal implantation of the electrodes using a laminectomy. Methods: On 27 April 2006 we performed a laparoscopic implantation of a Finetech-Brindley bladder controller on the endopelvic sacral roots in a Th8 completely paralyzed woman who had previously undergone the removal of a Brindley controller due to an arachnoiditis after extrathecal implantation with intradural sacral deafferentation. Results: We required about 3.5 h for the entire surgical procedure; no complications occurred and the patients went home on 5th postoperative day. The patient is now able to void empty her bladder and her rectum using the controller without further need for self-catheterisation. Conclusions: The presented new technique of laparoscopic implantation of electrodes on the endopelvic portion of the sacral nerve roots is an option to be considered in all paralyzed patients with further wish for electrical induced miction/defecation after previous deafferentation. {\circledC} 2008 International Spinal Cord Society All rights reserved.",
author = "Vito Chiantera and Vito Chiantera and Marc Possover and Kaufmann and Baekelandt",
year = "2008",
language = "English",
volume = "46",
pages = "70--73",
journal = "Spinal Cord",
issn = "1362-4393",
publisher = "Nature Publishing Group",

}

TY - JOUR

T1 - Laparoscopic endopelvic sacral implantation of a Brindley controller for recovery of bladder function in a paralyzed patient

AU - Chiantera, Vito

AU - Chiantera, Vito

AU - Possover, Marc

AU - Kaufmann, null

AU - Baekelandt, null

PY - 2008

Y1 - 2008

N2 - Background: A number of techniques are being investigated to accomplish bladder control recovery in paralyzed patients using the neurostimulation, but currently, all techniques are based on the dorsal implantation of the electrodes using a laminectomy. Methods: On 27 April 2006 we performed a laparoscopic implantation of a Finetech-Brindley bladder controller on the endopelvic sacral roots in a Th8 completely paralyzed woman who had previously undergone the removal of a Brindley controller due to an arachnoiditis after extrathecal implantation with intradural sacral deafferentation. Results: We required about 3.5 h for the entire surgical procedure; no complications occurred and the patients went home on 5th postoperative day. The patient is now able to void empty her bladder and her rectum using the controller without further need for self-catheterisation. Conclusions: The presented new technique of laparoscopic implantation of electrodes on the endopelvic portion of the sacral nerve roots is an option to be considered in all paralyzed patients with further wish for electrical induced miction/defecation after previous deafferentation. © 2008 International Spinal Cord Society All rights reserved.

AB - Background: A number of techniques are being investigated to accomplish bladder control recovery in paralyzed patients using the neurostimulation, but currently, all techniques are based on the dorsal implantation of the electrodes using a laminectomy. Methods: On 27 April 2006 we performed a laparoscopic implantation of a Finetech-Brindley bladder controller on the endopelvic sacral roots in a Th8 completely paralyzed woman who had previously undergone the removal of a Brindley controller due to an arachnoiditis after extrathecal implantation with intradural sacral deafferentation. Results: We required about 3.5 h for the entire surgical procedure; no complications occurred and the patients went home on 5th postoperative day. The patient is now able to void empty her bladder and her rectum using the controller without further need for self-catheterisation. Conclusions: The presented new technique of laparoscopic implantation of electrodes on the endopelvic portion of the sacral nerve roots is an option to be considered in all paralyzed patients with further wish for electrical induced miction/defecation after previous deafferentation. © 2008 International Spinal Cord Society All rights reserved.

UR - http://hdl.handle.net/10447/179164

M3 - Article

VL - 46

SP - 70

EP - 73

JO - Spinal Cord

JF - Spinal Cord

SN - 1362-4393

ER -