Shannon Megan B, Gupta Neil, Eberhardt Joshua, Farooq Ahmer V
From the Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics and Gynecology.
Department of Gastroenterology.
Female Pelvic Med Reconstr Surg. 2018 Nov/Dec;24(6):e49-e50. doi: 10.1097/SPV.0000000000000601.
Sacral neuromodulation is an effective treatment of urinary incontinence, fecal incontinence, and idiopathic urinary retention. The procedure is considered low risk with overall low complication rates. This report describes a 40-year-old woman who underwent sacral neuromodulation explant and full-system implant for weaning efficacy of her device. During device removal, the tined lead broke and was left in situ. Four months later, she was diagnosed as having a wound infection at the site of the retained lead. Imaging revealed lead fragment migration into the sigmoid colon. A colocutaneous fistula was noted soon thereafter. The retained lead was removed during a colonoscopy and the fistula healed. A retained lead can result in migration through the peritoneum and into the colon. This can be managed with assistance from colorectal or gastroenterology consultants.
骶神经调节是治疗尿失禁、大便失禁和特发性尿潴留的有效方法。该手术风险较低，总体并发症发生率也低。本报告描述了一名40岁女性，她因装置断奶效果接受了骶神经调节装置取出及全系统植入手术。在取出装置过程中，带倒刺的导线断裂并留在原位。四个月后，她被诊断为保留导线部位发生伤口感染。影像学检查显示导线碎片迁移至乙状结肠。此后不久发现了结肠皮肤瘘。在结肠镜检查期间取出了保留的导线，瘘管愈合。保留的导线可导致其穿过腹膜迁移至结肠。这可在结直肠或胃肠病学顾问的协助下进行处理。
