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Single incision for implanting a vagal nerve stimulator system (VNSS): technical note
1Section of Neurosurgery, University of Nebraska Medical Center, Omaha, Nebraska 68198-2035, USA.
Surgical Neurology
|April 13, 2001
Summary
This study presents a safe, single-incision technique for vagal nerve stimulator implantation. The method simplifies the procedure, offering a viable alternative to traditional double-incision approaches for this neuromodulation therapy.
Area of Science:
- Neurosurgery
- Medical Devices
- Surgical Techniques
Background:
- The implantation of vagal nerve stimulator (VNS) systems typically involves multiple incisions.
- Minimally invasive surgical approaches are continually being explored to improve patient outcomes and reduce complications.
Purpose of the Study:
- To describe and evaluate a novel single-incision technique for the implantation of the vagal nerve stimulator system.
- To assess the safety and feasibility of this modified surgical approach.
Main Methods:
- A single transverse incision is made in the lower neck.
- Subcutaneous dissection creates an infraclavicular pocket for the pulse generator.
- Vagal nerve electrodes are placed via the neck incision, and the generator is inserted through the same incision.
Main Results:
- Thirty-eight VNS implants were successfully performed using the single-incision technique.
- The pulse generator implantation and anchoring were straightforward.
- Two cases of wound infection were the only reported complications, indicating a favorable safety profile.
Conclusions:
- The single-incision technique is a safe and effective alternative to the conventional double-incision method for vagal nerve stimulator implantation.
- This approach simplifies the surgical procedure and may reduce operative morbidity.