Pancucci Giovanni, Perez-Prat Gustau, Rivero-Garvía Monica, Mayorga-Buiza Maria Jose, Marquez-Rivas Javier
J Spinal Cord Med. 2016;39(1):118-20. doi: 10.1179/2045772315Y.0000000019. Epub 2015 May 3.
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.
尽管鞘内泵置换是一种常见技术，但将20毫升的泵更换为更大的泵（40毫升）时有时会很复杂。我们开发了一种简单直接的技术来松弛泵囊壁，保留其筋膜层。
一名患有痉挛性四肢瘫的20岁男孩因泵置换入院。在切开瘢痕并取出泵后，在筋膜下囊的后层沿头-尾方向进行了各种线性切口。
放置了一个40毫升的泵，无需扩大皮肤切口并保留筋膜下平面。
这种用于输液泵置换的简便、扩展性技术保留了筋膜下平面，避免了进行更广泛手术的必要性。
