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Baclofen pump pocket infection: A case report of successful salvage with muscle flap

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dc.contributor.author Atiyeh B.S.
dc.contributor.author Hayek S.N.
dc.contributor.author Skaf G.S.
dc.contributor.author Araj A.A.
dc.contributor.author Chamoun R.B.
dc.contributor.editor
dc.date Mar-2006
dc.date.accessioned 2017-10-05T16:08:03Z
dc.date.available 2017-10-05T16:08:03Z
dc.date.issued 2006
dc.identifier 10.1111/j.1742-4801.2006.00179.x
dc.identifier.isbn
dc.identifier.issn 17424801
dc.identifier.uri http://hdl.handle.net/10938/20160
dc.description.abstract Programmable pump for continuous infusion of intrathecal baclofen, an agonist of the inhibitory neurotransmitter gamma-aminobutyric acid, is nowadays being widely used to control spasticity. The most common complications leading to explantation of the pumps are skin breakdown and infection at the pump implantation site which cannot be effectively treated without pump removal. We report a 37-year-old man who developed a baclofen pump pocket infection that did not respond to antibiotic therapy. Because the continuation of intrathecal baclofen administration was critical to the patient, and because the high cost of the pump precluded its prompt replacement, the pump was salvaged using the ipsilateral rectus abdominis muscle that was elevated on its inferior vascular pedicle and wrapped around the pump. Abdominal skin was then approximated, leaving a small portion of exposed muscle overlying the refill site that was covered by a split-thickness skin graft. Continuous intrathecal baclofen administration was never discontinued. Three months later, the pump's refill site could be easily identified manually for pump refill. There were no signs of recurrent infection during the 2-year follow-up period. © 2006 Blackwell Publishing Ltd and Medicalhelplines.com Inc.
dc.format.extent
dc.format.extent Pages: (23-28)
dc.language English
dc.relation.ispartof Publication Name: International Wound Journal; Publication Year: 2006; Volume: 3; no. 1; Pages: (23-28);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Baclofen pump pocket infection: A case report of successful salvage with muscle flap
dc.type Article
dc.contributor.affiliation Atiyeh, B.S., Division Plastic and Reconstructive Surgery, American University, Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Hayek, S.N., Division Plastic and Reconstructive Surgery, American University, Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Skaf, G.S., Division of Neurosurgery, American University, Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Araj, A.A., Division of Neurosurgery, American University, Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Chamoun, R.B., Division of Neurosurgery, American University, Beirut Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Atiyeh, B.S.; Division Plastic and Reconstructive Surgery, American University, Beirut Medical Center, Beirut, Lebanon; email: aata@terra.net.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Surgery; Division: Plastic Surgery;
dc.contributor.authorDepartment Surgery
dc.contributor.authorDivision Plastic Surgery
dc.contributor.authorEmail
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials empty
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited
dc.description.citedCount 8
dc.description.citedTotWOSCount
dc.description.citedWOSCount
dc.format.extentCount 6
dc.identifier.articleNo
dc.identifier.coden
dc.identifier.pubmedID 16650208
dc.identifier.scopusID 33645702945
dc.identifier.url
dc.publisher.address
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr
dc.relation.ispartOfIssue 1
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle International Wound Journal
dc.relation.ispartofPubTitleAbbr Int. Wound J.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 3
dc.source.ID
dc.type.publication Journal
dc.subject.otherAuthKeyword Baclofen pump pocket infection
dc.subject.otherAuthKeyword Muscle flap
dc.subject.otherAuthKeyword Prosthetic salvage
dc.subject.otherChemCAS aztreonam, 78110-38-0
dc.subject.otherChemCAS baclofen, 1134-47-0
dc.subject.otherChemCAS teicoplanin, 61036-62-2, 61036-64-4
dc.subject.otherChemCAS Baclofen, 1134-47-0
dc.subject.otherIndex antibiotic agent
dc.subject.otherIndex aztreonam
dc.subject.otherIndex baclofen
dc.subject.otherIndex tagocid
dc.subject.otherIndex teicoplanin
dc.subject.otherIndex adult
dc.subject.otherIndex antibiotic therapy
dc.subject.otherIndex article
dc.subject.otherIndex case report
dc.subject.otherIndex device infection
dc.subject.otherIndex drug response
dc.subject.otherIndex follow up
dc.subject.otherIndex human
dc.subject.otherIndex male
dc.subject.otherIndex muscle flap
dc.subject.otherIndex patient
dc.subject.otherIndex priority journal
dc.subject.otherIndex pump pocket infection
dc.subject.otherIndex rectus abdominis muscle
dc.subject.otherIndex recurrent infection
dc.subject.otherIndex skin
dc.subject.otherIndex split thickness skin graft
dc.subject.otherIndex wound infection
dc.subject.otherIndex Adult
dc.subject.otherIndex Baclofen
dc.subject.otherIndex Follow-Up Studies
dc.subject.otherIndex Graft Survival
dc.subject.otherIndex Humans
dc.subject.otherIndex Infusion Pumps, Implantable
dc.subject.otherIndex Injections, Spinal
dc.subject.otherIndex Male
dc.subject.otherIndex Muscle Spasticity
dc.subject.otherIndex Risk Assessment
dc.subject.otherIndex Salvage Therapy
dc.subject.otherIndex Severity of Illness Index
dc.subject.otherIndex Staphylococcal Infections
dc.subject.otherIndex Surgical Flaps
dc.subject.otherIndex Treatment Outcome
dc.subject.otherKeywordPlus
dc.subject.otherWOS


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