Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain.

IF 3.4 Q2 NEUROSCIENCES

Pain Reports Pub Date : 2023-01-01 DOI:10.1097/PR9.0000000000001059

Ryusuke Tanaka, Kenji Shinohara, Yohei Hidai, Chiaki Kiuchi, Satoshi Tanaka, Mikito Kawamata, Junichi Sasao

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引用次数: 2

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.

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差异靶点多路脊髓刺激治疗慢性术后腹痛的成功应用。

近年来刺激技术的进步提高了脊髓刺激(SCS)的疗效并扩大了其适用性。在这些技术中，差分靶多路复用(DTM) SCS治疗腹部手术后慢性术后疼痛(CPSP)的疗效尚未见报道。因此，我们提出在远端胰腺切除术后成功使用DTM SCS进行CPSP。方法:一名患有高血压和严重慢性腰痛的49岁男性，在剖腹手术切口区域表现为神经性CPSP，累及左腹部。他的疼痛难以保守治疗，在数值评定量表(NRS)上被评为10级。在14天的试验刺激后，他接受了脉冲发生器的永久植入。结果:DTM SCS随访3个月，术后慢性疼痛得到良好控制(NRS 1-2)。结论:差异靶点多路SCS可作为保守治疗难治性神经性CPSP的一种新的治疗方案。重要的是进一步研究CPSP的特征，并确定合适的候选物，以成功使用DTM SCS。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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