title: Use of a gentamicin-impregnated collagen sheet (Collatamp(®) ) following implantation of a sacral nerve stimulator for faecal incontinence.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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 10cm × 10cm 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.
  
  
  CONCLUSIONS
  Gentamicin-impregnated collagen (Collatamp(®) ) used in the implantation of a sacral nerve stimulator may be a useful addition to the technique.
authors.affiliation: Division of Gastrointestinal Surgery, Queens Medical Centre Campus, Nottingham University Hospitals, Nottingham, UK. alastairsimpson@hotmail.com
authors.forename: J A D
authors.initials: JA
authors.lastname: Simpson
authors.forename: J
authors.initials: J
authors.lastname: Peacock
authors.forename: C
authors.initials: C
authors.lastname: Maxwell-Armstrong
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003094:Collagen / Q000627:therapeutic use*; D004599:Electric Stimulation Therapy / Q000295:instrumentation; D005242:Fecal Incontinence / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D005839:Gentamicins / Q000627:therapeutic use*; D006801:Humans; D058542:Implantable Neurostimulators; D008875:Middle Aged; D019919:Prosthesis Implantation; D012447:Sacrum / Q000294:innervation; D013530:Surgical Wound Infection / Q000517:prevention & control*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D003094:Collagen