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[Infections in Functional Neurosurgery:Focusing on Device-based Surgery].

Tatsuya Sasaki1, Takao Yasuhara, Isao Date

  • 1Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.

No Shinkei Geka. Neurological Surgery
|September 21, 2022
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Summary

Device-based functional neurosurgeries carry a high risk of surgical site infection (SSI). This review examines infection risks for deep brain stimulation, vagus nerve stimulation, and baclofen pump implantation to improve patient outcomes.

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Area of Science:

  • Neurosurgery
  • Infectious Disease
  • Medical Devices

Background:

  • Device-based functional neurosurgeries, including deep brain stimulation (DBS), vagus nerve stimulation (VNS), and baclofen pump implantation, are crucial for treating epilepsy, movement disorders, and spasticity.
  • These procedures are associated with a higher risk of surgical site infection (SSI) compared to general neurological surgeries.
  • Surgical site infections in functional neurosurgery can lead to significant morbidity, impacting patients' quality of life and daily activities.

Purpose of the Study:

  • To conduct a mini-review of the infection risk associated with specific device-based functional neurosurgeries.
  • To describe institutional surgical procedures and preparations for infection prevention in these surgeries.
  • To highlight the importance of minimizing SSI in functional neurosurgery.

Main Methods:

  • Literature review focusing on infection risks in device-based neurosurgeries.
  • Description of surgical techniques and protocols implemented at the institution.
  • Analysis of infection prevention strategies relevant to deep brain stimulation, vagus nerve stimulation, and baclofen pump implantation.

Main Results:

  • The study identifies varying infection risks across different device-based neurosurgical procedures.
  • Specific surgical steps and preparatory measures aimed at mitigating infection risk are detailed.
  • Emphasis is placed on the critical role of meticulous surgical technique and patient preparation in preventing SSIs.

Conclusions:

  • Surgical site infection is a significant concern in functional neurosurgery, necessitating focused prevention strategies.
  • Implementing standardized, evidence-based protocols for procedures like DBS, VNS, and baclofen pump implantation is essential.
  • Proactive infection control measures are vital to preserve patient function and quality of life after neurosurgical interventions.