Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain
Abstract. Introduction:. Recent advances in stimulation techniques have improved the efficacy and expanded the applicability of spinal cord stimulation (SCS). Among these techniques, there are no reports on the efficacy of differential target multiplexed (DTM) SCS for chronic postsurgical pain (CPSP...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-01-01
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| Series: | PAIN Reports |
| Online Access: | http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001059 |
| _version_ | 1797947099277426688 |
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| author | Ryusuke Tanaka Kenji Shinohara Yohei Hidai Chiaki Kiuchi Satoshi Tanaka Mikito Kawamata Junichi Sasao |
| author_facet | Ryusuke Tanaka Kenji Shinohara Yohei Hidai Chiaki Kiuchi Satoshi Tanaka Mikito Kawamata Junichi Sasao |
| author_sort | Ryusuke Tanaka |
| collection | DOAJ |
| description | Abstract. Introduction:. Recent advances in stimulation techniques have improved the efficacy and expanded the applicability of spinal cord stimulation (SCS). Among these techniques, there are no reports on the efficacy of differential target multiplexed (DTM) SCS for chronic postsurgical pain (CPSP) after abdominal surgery. Therefore, we present the successful use of DTM SCS for CPSP after distal pancreatectomy.
Methods:. A 49-year-old man with hypertension and severe chronic low back pain presented with neuropathic CPSP involving the left abdomen in the area of a laparotomy incision. His pain was refractory to conservative treatment and was rated 10 on a numerical rating scale (NRS). He underwent permanent implantation of a pulse generator after a 14-day trial stimulation.
Results:. Chronic postsurgical pain was well controlled (NRS 1–2) at a 3-month follow-up with DTM SCS.
Conclusion:. Differential target multiplexed SCS can be a new treatment option for neuropathic CPSP that is resistant to conservative treatment. It is important to further examine the characteristics of CPSP and identify appropriate candidates for the successful use of DTM SCS. |
| first_indexed | 2024-04-10T21:21:23Z |
| format | Article |
| id | doaj.art-10fe109e130b45a0bc05d4e84a5a221b |
| institution | Directory Open Access Journal |
| issn | 2471-2531 |
| language | English |
| last_indexed | 2024-04-10T21:21:23Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | PAIN Reports |
| spelling | doaj.art-10fe109e130b45a0bc05d4e84a5a221b2023-01-20T02:41:39ZengWolters KluwerPAIN Reports2471-25312023-01-0181e105910.1097/PR9.0000000000001059202301000-00009Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal painRyusuke Tanaka0Kenji Shinohara1Yohei Hidai2Chiaki Kiuchi3Satoshi Tanaka4Mikito Kawamata5Junichi Sasao6a Division of Anesthesiology, Ina Central Hospital, Ina City, Nagano, Japana Division of Anesthesiology, Ina Central Hospital, Ina City, Nagano, Japanc Division of Orthopedic Surgery, Ina Central Hospital, Ina City, Nagano, Japana Division of Anesthesiology, Ina Central Hospital, Ina City, Nagano, Japanb Department of Anesthesiology and Resuscitology, Shinshu University School of Medicineb Department of Anesthesiology and Resuscitology, Shinshu University School of Medicinea Division of Anesthesiology, Ina Central Hospital, Ina City, Nagano, JapanAbstract. Introduction:. Recent advances in stimulation techniques have improved the efficacy and expanded the applicability of spinal cord stimulation (SCS). Among these techniques, there are no reports on the efficacy of differential target multiplexed (DTM) SCS for chronic postsurgical pain (CPSP) after abdominal surgery. Therefore, we present the successful use of DTM SCS for CPSP after distal pancreatectomy. Methods:. A 49-year-old man with hypertension and severe chronic low back pain presented with neuropathic CPSP involving the left abdomen in the area of a laparotomy incision. His pain was refractory to conservative treatment and was rated 10 on a numerical rating scale (NRS). He underwent permanent implantation of a pulse generator after a 14-day trial stimulation. Results:. Chronic postsurgical pain was well controlled (NRS 1–2) at a 3-month follow-up with DTM SCS. Conclusion:. Differential target multiplexed SCS can be a new treatment option for neuropathic CPSP that is resistant to conservative treatment. It is important to further examine the characteristics of CPSP and identify appropriate candidates for the successful use of DTM SCS.http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001059 |
| spellingShingle | Ryusuke Tanaka Kenji Shinohara Yohei Hidai Chiaki Kiuchi Satoshi Tanaka Mikito Kawamata Junichi Sasao Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain PAIN Reports |
| title | Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain |
| title_full | Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain |
| title_fullStr | Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain |
| title_full_unstemmed | Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain |
| title_short | Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain |
| title_sort | successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain |
| url | http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001059 |
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