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Acta Neurochirurgica
Published in: Acta Neurochirurgica 9/2013

01-09-2013 | How I Do it - Neurosurgical Techniques

An S-shaped incision for the insertion of deep brain stimulators

Authors: Lester Lee, Siti Rahim, John Thomas, Wai Hoe Ng

Published in: Acta Neurochirurgica | Issue 9/2013

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Abstract

Background

The S-shaped incision is a novel technique we have developed to minimise wound complications for the insertion of bilateral deep brain stimulators.

Methods

An S-shaped incision incorporating both burrholes allows better exposure compared to the traditional bilateral incisions. The burrholes are drilled under each limb of the S and the incision does not run across them, decreasing the risk of infection. The electrodes are subsequently tunneled down the right side and connected to the battery.

Conclusion

The use of the S-shaped incision results in less wound and electrode complications compared to the traditional bilateral linear incisions in our experience.
Literature
1.
Constantoyannis C, Berk C, Honey CR, Mendez I, Brownstone RM (2005) Reducing hardware related complications of deep brain stimulation. Can J Neurol Sci 32(2):194–200PubMed
2.
Hu X, Jiang X, Zhou X, Liang J, Wang L, Cao Y, Liu J, Jin A, Yang P (2010) Avoidance and management of hardware-related complications of deep brain stimulation. Stereotact Funct Neurosurg 88:296–303PubMedCrossRef
3.
Kouyalis AT, Boviatsis EJ, Ziaka DS, Sakas DE (2007) Use of a semilinear incision in movement disorders. Acta Neurochir (Wien) 149(5):501–504CrossRef
4.
Ng WH, Thomas J (2008) A simple and cost effective method of fixation of deep brain stimulation (DBS) electrodes. Acta Neurochir (Wien) 150(4):387–389CrossRef
5.
Park YS, Kang JH, Kim HY, Kang DW, Chang WS, Kim JP, Chang JW (2011) A combination procedure with double C-shaped skin incision and dual-floor burr hole method to prevent skin erosion on the scalp and reduce postoperative skin complications in deep brain stimulation. Stereotact Funct Neurosurg 89(3):178–184PubMedCrossRef
6.
Seery GE (2008) Scalp surgery: anatomic and biomechanical considerations. Dermatol Surg 27(9):827–834CrossRef
7.
Sixel-Doring F, Trenkwalder C, Kappus C, Hellwig D (2010) Skin complications in deep brain stimulation for Parkinson’s disease: frequency, time course, and risk factors. Acta Neurochir (Wien) 152:195–200CrossRef
8.
Umemura A, Oka Y, Yamamoto K, Okita K, Matsukawa N, Yamada K (2011) Complications of subthalamic nucleus stimulation in Parkinson’s disease. Neurol Med Chir (Tokyo) 51(11):749–755CrossRef
9.
Voges J, Maerzeggers Y, Maarouf M, Lehrke R, Koulousakis A, Lenartz D, Sturm V (2006) Deep-brain stimulation: long-term analysis of complications caused by hardware and surgery experiences from a single centre. J Neurol Neurosurg Psychiatry 77(7):868–872PubMedCrossRef
10.
Wilhelmi BJ, Balckwell SJ, Philips SG (1999) Langer’s lines: to use or not to use. Plast Reconstr Surg 104(1):208–214PubMedCrossRef
Metadata
Title
An S-shaped incision for the insertion of deep brain stimulators
Authors
Lester Lee
Siti Rahim
John Thomas
Wai Hoe Ng
Publication date
01-09-2013
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 9/2013
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-013-1745-6

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