scholarly journals Bilateral S3 nerve stimulation, a minimally invasive alternative treatment for postoperative stress incontinence after implantation of an anterior root stimulator with posterior rhizotomy: a preliminary observation

Spinal Cord ◽  
2000 ◽  
Vol 38 (4) ◽  
pp. 262-264 ◽  
Author(s):  
K Everaert ◽  
A Derie ◽  
M Van Laere ◽  
T Vandekerckhove
Keyword(s):  
Minimally Invasive ◽  
Stress Incontinence ◽  
Nerve Stimulation ◽  
Alternative Treatment ◽  
Preliminary Observation ◽  
Postoperative Stress ◽  
Anterior Root

scholarly journals TVT PROCEDURE FOR THE TREATMENT OF SUI: OUR EXPERIENCE

2010 ◽  
Vol 16 (1) ◽  
pp. 17
Author(s):  
F. Magatti ◽  
P.L. Sirtori ◽  
C. Rumi ◽  
C. Belloni
Keyword(s):  
Urinary Incontinence ◽  
Minimally Invasive ◽  
Success Rate ◽  
Stress Incontinence ◽  
Spinal Anaesthesia ◽  
Surgical Procedure ◽  
Urinary Stress Incontinence ◽  
Invasive Technique ◽  
Female Urinary Incontinence ◽  
Tvt Procedure

In this study we determined the efficacy of TVT for the treatment of female urinary incontinence in a first group of patients (69) of our urogynaecology service from April 1998 to December 2000. The TVT procedure is a minimally invasive technique, using local or spinal anaesthesia, which consists in the implantation of a Prolene tape around the mid-urethra. On the basis of our results (92.3 % success rate) we consider the TVT procedure to be a safe and effective surgical procedure for the treatment of female urinary stress incontinence.

PS01.138: EXPERIENCE FROM 102 PATIENTS WITH CONTINUOUS INTRAOPERATIVE VAGUS NERVE STIMULATION DURING MINIMALLY INVASIVE ESOPHAGECTOMY

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 89-89
Author(s):  
Ian Yu Hong Wong ◽  
Raymond King Yin Tsang ◽  
Desmond Kwan Kit Chan ◽  
Claudia Lai Yin Wong ◽  
Tsz Ting Law ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Vocal Cord ◽  
Nerve Stimulation ◽  
Vocal Cord Paralysis ◽  
Minimally Invasive Esophagectomy ◽  
Intraoperative Complications ◽  
Early Recovery ◽  
Invasive Esophagectomy ◽  
Assessment And Treatment

Abstract Background The incidence of recurrent laryngeal nerve (RLN) injury after esophagectomy can be as high as 60–70% especially when lymphadenectomy is performed along bilateral RLN. Vocal cord paralysis is associated with increased pulmonary complication rate, longer hospital stay, and impaired quality-of-life. The authors have modified the Continuous Intraoperative Nerve Monitoring (CIONM) method for minimally invasive esophagectomy. This study reviews our experience in the first 102 patients. Methods From May 2014 to January 2018, patients who underwent thoracoscopic esophagectomy were recruited. CIONM and intermittent nerve stimulation were routinely used during left RLN lymphadenectomy. For right RLN dissection, only intermittent nerve stimulation was used because of much lower chance of nerve injury. Routine direct laryngoscopy was performed on postoperative day one to assess the vocal cord status. Patients with RLN palsy are referred to otorhinolaryngologist for assessment and treatment. Surgical outcome, especially RLN palsy and recovery rates were documented. Results 102 patients were recruited and 73 patients had more than one year follow up. Twenty-two patients had RLN palsy (21.6%); right side in 3, left side in 18, and bilateral in one. Thirty-eight patients (37%) had only unilateral or no RLN dissection performed. This was because of R2 resection negating the benefits of RLN dissection (15.6%), poor pulmonary exposure (9.8%), other technical difficulties (7.8%), preoperative vocal cord palsy (2%), intraoperative complications (1%) and uncertain contralateral nerve integrity (1%). For those 90 patients with successful CIONM, 20 RLN palsy (22.2%), 10 of whom underwent injection thyroplasty within 2–80 days. Thyroplasty was not performed in 12 patients as they had good compensation from the contralateral cord (58.3%), early recovery within 2 weeks (16.7%) tracheostomized status (16.7%) or refusal (8.3%). Thirteen patients (59%) recovered within 2–72 weeks (Median 6 weeks). For the 73 patients with more than 1 year follow up, only 4 has residual vocal cord paralysis, making a genuine cord palsy rate of 5.5%. Conclusion Lymphadenectomy along bilateral RLN is technically demanding. CIONM is a sensitive tool to guide surgeons for safer dissection. Proper patient selection, postoperative assessment and treatment protocol can reduce the morbidity of RLN injury. Majority of the vocal cord paralysis is temporary Disclosure All authors have declared no conflicts of interest.

A case report of wireless peripheral nerve stimulation for complex regional pain syndrome type-I of the upper extremity: 1 year follow up

2019 ◽  
Vol 19 (4) ◽  
pp. 829-835 ◽  
Author(s):  
Daniel Herschkowitz ◽  
Jana Kubias
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Peripheral Nerve ◽  
Upper Extremity ◽  
Nerve Stimulation ◽  
Pain Syndrome ◽  
Peripheral Nerve Stimulation ◽  
Type I ◽  
First Case

Abstract Background Complex regional pain syndrome (CRPS) is a chronic disabling painful disorder with limited options to achieve therapeutic relief. CRPS type I which follows trauma, may not show obvious damage to the nervous structures and remains dubious in its pathophysiology and also its response to conservative treatment or interventional pain management is elusive. Spinal cord and dorsal root ganglion stimulation (SCS, DRGS) provide good relief, mainly for causalgia or CRPS I of lower extremities but not very encouraging for upper extremity CRPS I. we reported earlier, a case of CRPS I of right arm treated successfully by wireless peripheral nerve stimulation (WPNS) with short term follow up. Here we present 1-year follow-up of this patient. Objective To present the first case of WPNS for CRPS I with a year follow up. The patient had minimally invasive peripheral nerve stimulation (PNS), without implantable pulse generator (IPG) or its accessories. Case report This was a case of refractory CRPS I after blunt trauma to the right forearm of a young female. She underwent placement of two Stimwave electrodes (Leads: FR4A-RCV-A0 with tines, Generation 1 and FR4A-RCV-B0 with tines, Generation 1) in her forearm under intraoperative electrophysiological and ultrasound guidance along radial and median nerves. This WPNS required no IPG. At high frequency (HF) stimulation (HF 10 kHz/32 μs, 2.0 mA), patient had shown remarkable relief in pain, allodynia and temperature impairment. At 5 months she started driving without opioid consumption, while allodynia disappeared. At 1 year follow up she was relieved of pain [visual analogue scale (VAS) score of 4 from 7] and Kapanji Index (Score) improved to 7–8. Both hands look similar in color and temperature. She never made unscheduled visits to the clinic or visited emergency room for any complications related to the WPNS. Conclusions CRPS I involving upper extremity remain difficult to manage with conventional SCS or DRGS because of equipment related adverse events. Minimally invasive WPNS in this case had shown consistent relief without any complications or side effects related to the wireless technology or the technique at the end of 1 year. Implications This is the first case illustration of WPNS for CRPS I, successfully treated and followed up for 1 year.

Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence

Urology ◽  
2016 ◽  
Vol 91 ◽  
pp. 64-69 ◽  
Author(s):  
Siyou Wang ◽  
Jianwei Lv ◽  
Xiaoming Feng ◽  
Ge Wang ◽  
Tingting Lv
Keyword(s):  
Stress Incontinence ◽  
Nerve Stimulation ◽  
Pudendal Nerve ◽  
Female Stress Incontinence ◽  
Pudendal Nerve Stimulation

Mo1765 - Sacral Nerve Stimulation as Alternative Treatment for Chronic Constipation

2018 ◽  
Vol 154 (6) ◽  
pp. S-1337
Author(s):  
Alex J. Ky ◽  
Chen Wang ◽  
Matthew Miyasaka
Keyword(s):  
Nerve Stimulation ◽  
Alternative Treatment ◽  
Chronic Constipation ◽  
Sacral Nerve Stimulation ◽  
Sacral Nerve
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