[Initial experiences of preventing local incision XXXX during sacral neuromodulation].

@entity1 @entity5553 @entity281 @entity272 @entity3398
OBJECTIVE: To explore the possibility of using @entity281 method during sacral neuromodulation (SNM) operation to prevent postoperative loacal incision @entity281 . METHODS: SNM were performed for 23 @entity1 (male 11 cases, and female 12 cases) who had intractable lower urinary tract dysfunctoin from January 2013 to Feburary 2015. During the treatment period (both in stage I and stage II), several steps were adopted to prevernt local incision @entity281 after opertion, such as @entity272 , strict aseptic operating, intravenous infusion of antibiotics ( @entity3398 or @entity5553 ) prophylacticly at least 24 h, using sterile water to wash the incison in operation and taking oral antibiotics anti- @entity281 as supplemental after operation. At the meantime, microbiological examination was performed in the explanted tined leads , extension wire connection and local gluteal tissue. RESULTS: A total of 23 @entity1 received SNM with local anesthesia, mean time of operation, hospitalization and test period were 1.5 h, 3.2 d and 37.1 d , respectively. All @entity1 had no symptoms of clinical local @entity281 after stage I test period and all incisions were healing with I/A standard. Eight @entity1 were removed the inside electrodes because of poor effect at the end of test period with local anesthesia. Bacterial growth was not detected in all 8 @entity1 of explanted tined leads and extension wire connection. And all 8 @entity1 had their incision healed with I/A standard. Fifteen @entity1 received implantable pulse generator (IPG) with local anesthesia. Mean time of operation was 63 min and mean time of hospitalization was 2.2 d. Among them , 10 @entity1 ' extension wire connection and loacal tissue were send to microbiological examination and no bacterial growth was found. All stage II incisions were healing with I/A standard. CONCLUSION: Perioperative @entity281 method could prevent local incision @entity281 after SNM.
