title: Pump implantation for intrathecal baclofen infusion after laparotomy for necrotizing enterocolitis.
abstract: Necrotizing enterocolitis (NEC) and spastic cerebral palsy are both familiar complications of prematurity. Children who are otherwise candidates for intrathecal baclofen infusion occasionally have long, transverse, right midabdominal laparotomy incisions from past management of NEC, and these incisions may interfere with selection of a site for pump implantation. Successful pump implantation immediately beneath a laparotomy incision was accomplished using a modification of the popular subfascial technique.
authors.affiliation: Section of Neurosurgery, St. Christopher's Hospital for Children and Departments of Neurosurgery and Pediatrics, Drexel University College of Medicine, Philadelphia, Pa., USA. joseph.piatt@drexel.edu
authors.forename: Joseph H
authors.initials: JH
authors.lastname: Piatt
mesh_terms: D001418:Baclofen / Q000008:administration & dosage; D002648:Child; D002921:Cicatrix / Q000601:surgery*; D020345:Enterocolitis, Necrotizing / Q000601:surgery*; D006801:Humans; D015918:Infusion Pumps, Implantable; D007278:Injections, Spinal; D007813:Laparotomy; D008297:Male; D009125:Muscle Relaxants, Central / Q000008:administration & dosage
chemical_list: D009125:Muscle Relaxants, Central; D001418:Baclofen