Recently, Pediatrics Hospital of Fudan University Neurosurgery Li Hao team successfully carried out the first domestic sacral nerve regulation surgery for children with double dysfunction of defecation and urination.
A 7-year-old boy from Anhui, Lang Lang (pseudonym), finally got rid of the trouble of diapers. The parents were very excited, "This little machine is like a magic key, opened for the child to return to normal social life The gate."
Lang Lang is a congenital malformation of the rectum and anus, with sacral dysplasia, absence of coccyx, and the presence of tethered cord with intraspinal lipoma.
At a young age, he has successively undergone many operations such as colostomy, anoplasty, rectal urethral fistula repair, stoma closure, spinal cord loosening and intraspinal lipoma resection.
After standard intestinal and urinary tract management and treatment, there are still urinary incontinence, urinary retention, fecal incontinence, rectal mucosal prolapse and other manifestations, which seriously affect the quality of life.
Neurosurgery, General Surgery , and Urology MDT multidisciplinary joint consultation in the Children's Hospital of Fudan University After discussion and evaluation, it was decided that the chief physician Li Hao and the attending physician Zhang Yi would perform sacral neuromodulation for the patient.
Li Hao explained that sacral nerve regulation surgery, also known as "sacral nerve stimulation electrode implantation" (commonly known as bladder pacemaker or sacral nerve regulation), is a new minimally invasive treatment method that mainly treats intractable urinary frequency. Acute, non-obstructive urinary retention, neurogenic bladder, constipation, fecal incontinence, etc.
During the first stage of the operation, the treatment team used advanced 3D fusion technology to fully guarantee the precise placement of the sacral nerve stimulation electrodes. Deputy Chief Physician Zheng Jicui and Dr. Tang Yue used intraoperative electrophysiological techniques to place the electrodes The subsequent stimulus is accurately assessed.
During the two weeks of postoperative regulation and observation, Lang Lang's urination symptoms improved significantly. Combined with intestinal management, the family of the child took the initiative to help the child remove the diapers.
then,The treatment team embarked on the second stage of surgery to successfully implant the sacral nerve stimulator into the patient's body.
"I don't need to diapers anymore, I'm already a man." Langlang's eyes lit up and a smile appeared on his face.
It is reported that sacral nerve regulation is the most cutting-edge technology in the field of urinary nerve regulation. It is widely used clinically in European and American countries. The successful clinical application of this technology in the Pediatric Hospital Affiliated to Fudan University will help people suffering from long-term urinary and defecation problems. The children and their parents solved the "convenience" problem.
Author: Li Chenyan Xi Xiaolei
Editor: Li Chenyan
Source: Courtesy of the picture
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