Abstract
Skin erosion is a common skin-related complication in patients underwent deep brain stimulation. Traditionally, treatment of these skin-related complications has required removal of the entire deep brain stimulation system, which may cause considerable consequences. We aimed to evaluate the efficacy and safety of pedicled omental transposition in the treatment of recurrent skin erosion following deep brain stimulation. This study was conducted on patients with recurrent skin erosion following deep brain stimulation, between August 2019 and August 2021 at Shanghai Ruijin Hospital. The patients were grouped into the pedicled omental transposition group (OT group) and the routine group based on the surgical methods, for comparison of surgical outcomes. The study included 9 patients (5 in the OT group and 4 in the routine group). Four patients in the OT group were asymptomatic throughout 6–11 months of follow-up. All 4 patients in the routine group received hardware removal because of severe wound re-erosion within 4 months after discharge. The OT group exhibited significantly lower recurrence and explanation rates at 6 months after discharge (p < 0.05). No adverse events were observed. Our study showed that recurrent skin erosion following deep brain stimulation can be effectively and safely treated with pedicled omental transposition. This whole new surgical method may offer the neurosurgical community a last solution for saving deep brain stimulation systems in patients with skin erosions.
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Guan, H., Pan, Y., Huang, P. et al. Pedicled Omental Transposition for Recurrent Skin Erosion Following Deep Brain Stimulation Without Hardware Removal. Indian J Surg 85, 143–148 (2023). https://doi.org/10.1007/s12262-022-03354-y
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DOI: https://doi.org/10.1007/s12262-022-03354-y