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Use of a gentamicin‐impregnated collagen sheet (Collatamp ® ) following implantation of a sacral nerve stimulator for faecal incontinence
Author(s) -
Simpson J. A. D.,
Peacock J.,
MaxwellArmstrong C.
Publication year - 2012
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2011.02886.x
Subject(s) - medicine , gentamicin , surgery , fecal incontinence , urology , antibiotics , microbiology and biotechnology , biology
Aim Gentamicin‐impregnated collagen (Collatamp ® ) is well described for the prevention of infection in surgery. This technical note describes its intraoperative use as a prophylactic measure to prevent infection following implantation of a sacral nerve stimulator for faecal incontinence. Method Following implantation of the Interstim II Neurostimulator (Medtronic Neuromodulation, 710 Medtronic Parkway, Minneapolis, USA) in a subcutaneous pocket overlying the gluteal muscle, a single sheet of 10 cm × 10 cm gentamicin‐impregnated collagen is placed within the wound covering the implant. The subcutaneous tissue and skin are then closed in separate layers. Results To date eight patients [median age 46.5 (30–59) years] have received prophylactic cover with gentamicin‐impregnated collagen following permanent sacral nerve stimulator implantation. At a median interval of 89.5 (51–128) days, none of these patients developed a wound infection at the site of the neurostimulator implant. Conclusion Gentamicin‐impregnated collagen (Collatamp ® ) used in the implantation of a sacral nerve stimulator may be a useful addition to the technique.