Is Permanent Sacral nerve Stimulation Implantation Under Local Anaesthesia Feasible and Effective?

Background Sacral nerve stimulation (SNS) is a minimally invasive surgical technique that plays an important role in the treatment of disorders of the bladder and bowel. Permanent SNS implantation under local anaesthesia (LA) offers many advantages. Objectives To assess if implantation of perma...

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Autores principales:	Sara Faily, Moez Zeiton, James Nicholson, Karen Telford, Abhiram Sharma
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2015
Materias:	constipation faecal incontinence local anaesthesia sacral nerve stimulation Medicine R
Acceso en línea:	https://doaj.org/article/a8eccdc11958497693a6935cf85b9258
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spelling	oai:doaj.org-article:a8eccdc11958497693a6935cf85b92582021-11-15T09:41:07ZIs Permanent Sacral nerve Stimulation Implantation Under Local Anaesthesia Feasible and Effective?2783-243010.17795/acr-32556https://doaj.org/article/a8eccdc11958497693a6935cf85b92582015-12-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45500_bd71919341555f2f41ae27069517783b.pdfhttps://doaj.org/toc/2783-2430Background Sacral nerve stimulation (SNS) is a minimally invasive surgical technique that plays an important role in the treatment of disorders of the bladder and bowel. Permanent SNS implantation under local anaesthesia (LA) offers many advantages. Objectives To assess if implantation of permanent sacral nerve stimulation (SNS) under local anaesthesia (LA) is feasible and effective. Patients and Methods Using a prospective database, nine patients who had permanent SNS implantation under LA in our unit were selected and analysed. Results Four patients suffered from underlying cardiovascular disease and LA was deemed more appropriate to minimise perioperative risks. The decision to opt for LA in the other five patients was indicated due to patient preference. The average volume of lignocaine 1% used was 25 millilitres and operative length of time was 36 minutes, with the lead inserted into the right S3 foramen in all patients. Eight patients were discharged on the day of the procedure. Long term follow up revealed that SNS alleviated the symptoms in the majority of the patients, but the benefit gained fluctuated over time. Surgical revision was required in three of these patients, these included replacement of a lead, resiting of the implantable pulse generator, and explantation of the SNS device. Conclusions Implantation of permanent SNS under LA is a viable surgical option, associated with several advantages that apply to both patients and service provision. Performing this surgical procedure under LA avoids the perioperative risks involved with (general anaesthesia) GA and also offers the possibility of SNS treatment for patients in whom GA is medically contraindicated, ultimately widening the breadth of the cohort suitable for SNS treatment. Other potential benefits include reduction in time and costs involved in carrying out the surgery.Sara FailyMoez ZeitonJames NicholsonKaren TelfordAbhiram SharmaShiraz University of Medical Sciencesarticleconstipationfaecal incontinencelocal anaesthesiasacral nerve stimulationMedicineRENIranian Journal of Colorectal Research, Vol 3, Iss 4, Pp 0-0 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	constipation faecal incontinence local anaesthesia sacral nerve stimulation Medicine R
spellingShingle	constipation faecal incontinence local anaesthesia sacral nerve stimulation Medicine R Sara Faily Moez Zeiton James Nicholson Karen Telford Abhiram Sharma Is Permanent Sacral nerve Stimulation Implantation Under Local Anaesthesia Feasible and Effective?
description	Background Sacral nerve stimulation (SNS) is a minimally invasive surgical technique that plays an important role in the treatment of disorders of the bladder and bowel. Permanent SNS implantation under local anaesthesia (LA) offers many advantages. Objectives To assess if implantation of permanent sacral nerve stimulation (SNS) under local anaesthesia (LA) is feasible and effective. Patients and Methods Using a prospective database, nine patients who had permanent SNS implantation under LA in our unit were selected and analysed. Results Four patients suffered from underlying cardiovascular disease and LA was deemed more appropriate to minimise perioperative risks. The decision to opt for LA in the other five patients was indicated due to patient preference. The average volume of lignocaine 1% used was 25 millilitres and operative length of time was 36 minutes, with the lead inserted into the right S3 foramen in all patients. Eight patients were discharged on the day of the procedure. Long term follow up revealed that SNS alleviated the symptoms in the majority of the patients, but the benefit gained fluctuated over time. Surgical revision was required in three of these patients, these included replacement of a lead, resiting of the implantable pulse generator, and explantation of the SNS device. Conclusions Implantation of permanent SNS under LA is a viable surgical option, associated with several advantages that apply to both patients and service provision. Performing this surgical procedure under LA avoids the perioperative risks involved with (general anaesthesia) GA and also offers the possibility of SNS treatment for patients in whom GA is medically contraindicated, ultimately widening the breadth of the cohort suitable for SNS treatment. Other potential benefits include reduction in time and costs involved in carrying out the surgery.
format	article
author	Sara Faily Moez Zeiton James Nicholson Karen Telford Abhiram Sharma
author_facet	Sara Faily Moez Zeiton James Nicholson Karen Telford Abhiram Sharma
author_sort	Sara Faily
title	Is Permanent Sacral nerve Stimulation Implantation Under Local Anaesthesia Feasible and Effective?
title_short	Is Permanent Sacral nerve Stimulation Implantation Under Local Anaesthesia Feasible and Effective?
title_full	Is Permanent Sacral nerve Stimulation Implantation Under Local Anaesthesia Feasible and Effective?
title_fullStr	Is Permanent Sacral nerve Stimulation Implantation Under Local Anaesthesia Feasible and Effective?
title_full_unstemmed	Is Permanent Sacral nerve Stimulation Implantation Under Local Anaesthesia Feasible and Effective?
title_sort	is permanent sacral nerve stimulation implantation under local anaesthesia feasible and effective?
publisher	Shiraz University of Medical Sciences
publishDate	2015
url	https://doaj.org/article/a8eccdc11958497693a6935cf85b9258
work_keys_str_mv	AT sarafaily ispermanentsacralnervestimulationimplantationunderlocalanaesthesiafeasibleandeffective AT moezzeiton ispermanentsacralnervestimulationimplantationunderlocalanaesthesiafeasibleandeffective AT jamesnicholson ispermanentsacralnervestimulationimplantationunderlocalanaesthesiafeasibleandeffective AT karentelford ispermanentsacralnervestimulationimplantationunderlocalanaesthesiafeasibleandeffective AT abhiramsharma ispermanentsacralnervestimulationimplantationunderlocalanaesthesiafeasibleandeffective
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Is Permanent Sacral nerve Stimulation Implantation Under Local Anaesthesia Feasible and Effective?

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