For sufferers with neurogenic bladder and pelvic structural anomalies, sacral neuromodulation (SNM) mixed with three-dimensional (3D) printing and ultrasound localization improves the accuracy of SNM placement, reduces surgical procedure time, and eliminates X-ray publicity, in accordance with a research printed on-line Nov. 12 within the Asian Journal of Surgical procedure.
Runze Liu, from Capital Medical College in Beijing, and colleagues performed a potential research involving 56 sufferers identified with neurogenic bladder and pelvic anomalies, who have been handled with SNM from January 2022 to December 2023. Based mostly on the origins of their pelvic anomalies, the sufferers have been break up into research and management teams; the research group (28 people) underwent preoperative 3D printing and intraoperative ultrasound-assisted puncture, whereas intraoperative X-ray-assisted puncture was used for the management group (28 people).
The researchers discovered that in contrast with the management group, the research group skilled considerably fewer punctures (2.21 ± 0.92 versus 9.29 ± 4.37), had a shorter common puncture length (5.71 ± 2.69 versus 28.60 ± 9.69 minutes), and required decrease efficient preliminary voltage (0.87 ± 0.23v versus 1.38 ± 0.52v). Within the research group, X-ray publicity was eradicated in contrast with 11.51 ± 4.62 mAs within the management group. The section 2 implantation charges have been 67.8 and 57.1 % for the research and management teams, respectively. Neither group had surgery-related issues.
“Preoperative 3D printing combined with intraoperative ultrasound-assisted localization facilitates precise and rapid electrode implantation into the target sacral foramen, particularly in patients with pelvic structural anomalies,” the authors write.
Extra info:
Runze Liu et al, Effectiveness of sacral neuromodulation with 3D printing and ultrasound localization for treating neurogenic bladder in sufferers with pelvic structural anomalies, Asian Journal of Surgical procedure (2024). DOI: 10.1016/j.asjsur.2024.10.153
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Ultrasound, 3D printing assist sacral neuromodulation for neurogenic bladder (2025, January 3)
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