Breast reconstruction in a patient with an implanted deep brain stimulator

Summary: Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunct...
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Gespeichert in:

Autor*in:	Yukiyo Tsunekawa [verfasserIn] Hideyoshi Sato [verfasserIn] Chisato Koyama [verfasserIn] Yuichi Oka [verfasserIn] Kazuhiro Toriyama [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Breast reconstruction Brain tissue damage Deep brain stimulator Device dysfunction Monopolar electromagnetic cautery

Übergeordnetes Werk:	In: JPRAS Open - Elsevier, 2017, 24(2020), Seite 56-59
Übergeordnetes Werk:	volume:24 ; year:2020 ; pages:56-59

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.jpra.2020.03.007

Katalog-ID:	DOAJ044846045

Internformat


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520			\|a Summary: Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunction or brain tissue damage caused by heat. We report a patient with a DBS who underwent one-stage implant-based breast reconstruction. We switched off the DBS before surgery and used monopolar electromagnetic cautery with minimum power settings to undermine the subcutaneous pocket for the breast implant. The DBS was switched back on immediately after completion of the surgery. The patient's postoperative recovery was uneventful with the DBS fully functional.
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650		4	\|a Brain tissue damage
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650		4	\|a Device dysfunction
650		4	\|a Monopolar electromagnetic cautery
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allfields	10.1016/j.jpra.2020.03.007 doi (DE-627)DOAJ044846045 (DE-599)DOAJadb38dc7a1bf4e26bb9145dc32c41126 DE-627 ger DE-627 rakwb eng RD1-811 Yukiyo Tsunekawa verfasserin aut Breast reconstruction in a patient with an implanted deep brain stimulator 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary: Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunction or brain tissue damage caused by heat. We report a patient with a DBS who underwent one-stage implant-based breast reconstruction. We switched off the DBS before surgery and used monopolar electromagnetic cautery with minimum power settings to undermine the subcutaneous pocket for the breast implant. The DBS was switched back on immediately after completion of the surgery. The patient's postoperative recovery was uneventful with the DBS fully functional. Breast reconstruction Brain tissue damage Deep brain stimulator Device dysfunction Monopolar electromagnetic cautery Surgery Hideyoshi Sato verfasserin aut Chisato Koyama verfasserin aut Yuichi Oka verfasserin aut Kazuhiro Toriyama verfasserin aut In JPRAS Open Elsevier, 2017 24(2020), Seite 56-59 (DE-627)835589102 (DE-600)2834721-3 23525878 nnns volume:24 year:2020 pages:56-59 https://doi.org/10.1016/j.jpra.2020.03.007 kostenfrei https://doaj.org/article/adb38dc7a1bf4e26bb9145dc32c41126 kostenfrei http://www.sciencedirect.com/science/article/pii/S2352587820300152 kostenfrei https://doaj.org/toc/2352-5878 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 24 2020 56-59
spelling	10.1016/j.jpra.2020.03.007 doi (DE-627)DOAJ044846045 (DE-599)DOAJadb38dc7a1bf4e26bb9145dc32c41126 DE-627 ger DE-627 rakwb eng RD1-811 Yukiyo Tsunekawa verfasserin aut Breast reconstruction in a patient with an implanted deep brain stimulator 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary: Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunction or brain tissue damage caused by heat. We report a patient with a DBS who underwent one-stage implant-based breast reconstruction. We switched off the DBS before surgery and used monopolar electromagnetic cautery with minimum power settings to undermine the subcutaneous pocket for the breast implant. The DBS was switched back on immediately after completion of the surgery. The patient's postoperative recovery was uneventful with the DBS fully functional. Breast reconstruction Brain tissue damage Deep brain stimulator Device dysfunction Monopolar electromagnetic cautery Surgery Hideyoshi Sato verfasserin aut Chisato Koyama verfasserin aut Yuichi Oka verfasserin aut Kazuhiro Toriyama verfasserin aut In JPRAS Open Elsevier, 2017 24(2020), Seite 56-59 (DE-627)835589102 (DE-600)2834721-3 23525878 nnns volume:24 year:2020 pages:56-59 https://doi.org/10.1016/j.jpra.2020.03.007 kostenfrei https://doaj.org/article/adb38dc7a1bf4e26bb9145dc32c41126 kostenfrei http://www.sciencedirect.com/science/article/pii/S2352587820300152 kostenfrei https://doaj.org/toc/2352-5878 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 24 2020 56-59
allfields_unstemmed	10.1016/j.jpra.2020.03.007 doi (DE-627)DOAJ044846045 (DE-599)DOAJadb38dc7a1bf4e26bb9145dc32c41126 DE-627 ger DE-627 rakwb eng RD1-811 Yukiyo Tsunekawa verfasserin aut Breast reconstruction in a patient with an implanted deep brain stimulator 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary: Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunction or brain tissue damage caused by heat. We report a patient with a DBS who underwent one-stage implant-based breast reconstruction. We switched off the DBS before surgery and used monopolar electromagnetic cautery with minimum power settings to undermine the subcutaneous pocket for the breast implant. The DBS was switched back on immediately after completion of the surgery. The patient's postoperative recovery was uneventful with the DBS fully functional. Breast reconstruction Brain tissue damage Deep brain stimulator Device dysfunction Monopolar electromagnetic cautery Surgery Hideyoshi Sato verfasserin aut Chisato Koyama verfasserin aut Yuichi Oka verfasserin aut Kazuhiro Toriyama verfasserin aut In JPRAS Open Elsevier, 2017 24(2020), Seite 56-59 (DE-627)835589102 (DE-600)2834721-3 23525878 nnns volume:24 year:2020 pages:56-59 https://doi.org/10.1016/j.jpra.2020.03.007 kostenfrei https://doaj.org/article/adb38dc7a1bf4e26bb9145dc32c41126 kostenfrei http://www.sciencedirect.com/science/article/pii/S2352587820300152 kostenfrei https://doaj.org/toc/2352-5878 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 24 2020 56-59
allfieldsGer	10.1016/j.jpra.2020.03.007 doi (DE-627)DOAJ044846045 (DE-599)DOAJadb38dc7a1bf4e26bb9145dc32c41126 DE-627 ger DE-627 rakwb eng RD1-811 Yukiyo Tsunekawa verfasserin aut Breast reconstruction in a patient with an implanted deep brain stimulator 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary: Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunction or brain tissue damage caused by heat. We report a patient with a DBS who underwent one-stage implant-based breast reconstruction. We switched off the DBS before surgery and used monopolar electromagnetic cautery with minimum power settings to undermine the subcutaneous pocket for the breast implant. The DBS was switched back on immediately after completion of the surgery. The patient's postoperative recovery was uneventful with the DBS fully functional. Breast reconstruction Brain tissue damage Deep brain stimulator Device dysfunction Monopolar electromagnetic cautery Surgery Hideyoshi Sato verfasserin aut Chisato Koyama verfasserin aut Yuichi Oka verfasserin aut Kazuhiro Toriyama verfasserin aut In JPRAS Open Elsevier, 2017 24(2020), Seite 56-59 (DE-627)835589102 (DE-600)2834721-3 23525878 nnns volume:24 year:2020 pages:56-59 https://doi.org/10.1016/j.jpra.2020.03.007 kostenfrei https://doaj.org/article/adb38dc7a1bf4e26bb9145dc32c41126 kostenfrei http://www.sciencedirect.com/science/article/pii/S2352587820300152 kostenfrei https://doaj.org/toc/2352-5878 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 24 2020 56-59
allfieldsSound	10.1016/j.jpra.2020.03.007 doi (DE-627)DOAJ044846045 (DE-599)DOAJadb38dc7a1bf4e26bb9145dc32c41126 DE-627 ger DE-627 rakwb eng RD1-811 Yukiyo Tsunekawa verfasserin aut Breast reconstruction in a patient with an implanted deep brain stimulator 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary: Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunction or brain tissue damage caused by heat. We report a patient with a DBS who underwent one-stage implant-based breast reconstruction. We switched off the DBS before surgery and used monopolar electromagnetic cautery with minimum power settings to undermine the subcutaneous pocket for the breast implant. The DBS was switched back on immediately after completion of the surgery. The patient's postoperative recovery was uneventful with the DBS fully functional. Breast reconstruction Brain tissue damage Deep brain stimulator Device dysfunction Monopolar electromagnetic cautery Surgery Hideyoshi Sato verfasserin aut Chisato Koyama verfasserin aut Yuichi Oka verfasserin aut Kazuhiro Toriyama verfasserin aut In JPRAS Open Elsevier, 2017 24(2020), Seite 56-59 (DE-627)835589102 (DE-600)2834721-3 23525878 nnns volume:24 year:2020 pages:56-59 https://doi.org/10.1016/j.jpra.2020.03.007 kostenfrei https://doaj.org/article/adb38dc7a1bf4e26bb9145dc32c41126 kostenfrei http://www.sciencedirect.com/science/article/pii/S2352587820300152 kostenfrei https://doaj.org/toc/2352-5878 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 24 2020 56-59
language	English
source	In JPRAS Open 24(2020), Seite 56-59 volume:24 year:2020 pages:56-59
sourceStr	In JPRAS Open 24(2020), Seite 56-59 volume:24 year:2020 pages:56-59
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Breast reconstruction Brain tissue damage Deep brain stimulator Device dysfunction Monopolar electromagnetic cautery Surgery
isfreeaccess_bool	true
container_title	JPRAS Open
authorswithroles_txt_mv	Yukiyo Tsunekawa @@aut@@ Hideyoshi Sato @@aut@@ Chisato Koyama @@aut@@ Yuichi Oka @@aut@@ Kazuhiro Toriyama @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	835589102
id	DOAJ044846045
language_de	englisch
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callnumber-first	R - Medicine
author	Yukiyo Tsunekawa
spellingShingle	Yukiyo Tsunekawa misc RD1-811 misc Breast reconstruction misc Brain tissue damage misc Deep brain stimulator misc Device dysfunction misc Monopolar electromagnetic cautery misc Surgery Breast reconstruction in a patient with an implanted deep brain stimulator
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topic_title	RD1-811 Breast reconstruction in a patient with an implanted deep brain stimulator Breast reconstruction Brain tissue damage Deep brain stimulator Device dysfunction Monopolar electromagnetic cautery
topic	misc RD1-811 misc Breast reconstruction misc Brain tissue damage misc Deep brain stimulator misc Device dysfunction misc Monopolar electromagnetic cautery misc Surgery
topic_unstemmed	misc RD1-811 misc Breast reconstruction misc Brain tissue damage misc Deep brain stimulator misc Device dysfunction misc Monopolar electromagnetic cautery misc Surgery
topic_browse	misc RD1-811 misc Breast reconstruction misc Brain tissue damage misc Deep brain stimulator misc Device dysfunction misc Monopolar electromagnetic cautery misc Surgery
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title	Breast reconstruction in a patient with an implanted deep brain stimulator
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title_full	Breast reconstruction in a patient with an implanted deep brain stimulator
author_sort	Yukiyo Tsunekawa
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author_browse	Yukiyo Tsunekawa Hideyoshi Sato Chisato Koyama Yuichi Oka Kazuhiro Toriyama
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title_sort	breast reconstruction in a patient with an implanted deep brain stimulator
callnumber	RD1-811
title_auth	Breast reconstruction in a patient with an implanted deep brain stimulator
abstract	Summary: Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunction or brain tissue damage caused by heat. We report a patient with a DBS who underwent one-stage implant-based breast reconstruction. We switched off the DBS before surgery and used monopolar electromagnetic cautery with minimum power settings to undermine the subcutaneous pocket for the breast implant. The DBS was switched back on immediately after completion of the surgery. The patient's postoperative recovery was uneventful with the DBS fully functional.
abstractGer	Summary: Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunction or brain tissue damage caused by heat. We report a patient with a DBS who underwent one-stage implant-based breast reconstruction. We switched off the DBS before surgery and used monopolar electromagnetic cautery with minimum power settings to undermine the subcutaneous pocket for the breast implant. The DBS was switched back on immediately after completion of the surgery. The patient's postoperative recovery was uneventful with the DBS fully functional.
abstract_unstemmed	Summary: Deep brain stimulators (DBSs) are sometimes used to treat refractory movement disorders such as Parkinson's disease. When DBSs are implanted in a subcutaneous pocket in the chest region, breast reconstruction becomes a challenge because monopolar electrocautery can lead to DBS dysfunction or brain tissue damage caused by heat. We report a patient with a DBS who underwent one-stage implant-based breast reconstruction. We switched off the DBS before surgery and used monopolar electromagnetic cautery with minimum power settings to undermine the subcutaneous pocket for the breast implant. The DBS was switched back on immediately after completion of the surgery. The patient's postoperative recovery was uneventful with the DBS fully functional.
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title_short	Breast reconstruction in a patient with an implanted deep brain stimulator
url	https://doi.org/10.1016/j.jpra.2020.03.007 https://doaj.org/article/adb38dc7a1bf4e26bb9145dc32c41126 http://www.sciencedirect.com/science/article/pii/S2352587820300152 https://doaj.org/toc/2352-5878
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up_date	2024-07-04T00:42:19.553Z
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Breast reconstruction in a patient with an implanted deep brain stimulator

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