title: [Displaced pain pump because of a pendulous abdomen - dermatolipectomy as solution of the problem].
abstract: A female patient with a chronic pain syndrome after multiple operation on her muskuloskeletal system presented with a displaced pain pump in her lower left abdominal region. After an excessive weight loss due to gastric banding the patient developed a massive pendulous abdomen causing the complication. An interdisciplinary dermatolipectomy together with a refixation of the pump was performed. Since this operation a recurrence of the displacement has not been observed and consecutively the filling of the pump could be accomplished without radiological investigations. This rare case demonstrates the significance of interdisciplinary treatment in which a primarily aesthetic intervention was necessary for a successful therapeutic outcome.
authors.affiliation: Abteilung für Plastische, Rekonstruktive und Asthetische Chirurgie, Switzerland. miriam.vetter@stgag.ch
authors.forename: M
authors.initials: M
authors.lastname: Vetter
authors.forename: M
authors.initials: M
authors.lastname: Föhn
authors.forename: K
authors.initials: K
authors.lastname: Oehy
authors.forename: V
authors.initials: V
authors.lastname: Wedler
mesh_terms: D050153:Abdominal Fat; D000328:Adult; D000577:Amides / Q000008:administration & dosage*; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D002908:Chronic Disease; D019544:Equipment Failure Analysis; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery; D015391:Gastroplasty; D006801:Humans; D015918:Infusion Pumps, Implantable; D015187:Lipectomy; D008691:Methadone / Q000008:administration & dosage*; D009767:Obesity, Morbid / Q000150:complications* / Q000628:therapy; D010146:Pain / Q000188:drug therapy*; D012008:Recurrence; D012086:Reoperation; D000077212:Ropivacaine
chemical_list: D000577:Amides; D000701:Analgesics, Opioid; D000077212:Ropivacaine; D008691:Methadone