Pocketing Techniques

  • Timothy R. Deer
  • C. Douglas Stewart


Creating a pocket to place the permanent generator is an important part of the procedure. The placement of the pocket can have an impact on the overall outcome in several ways. The physician must pay careful attention to the body site for the implant, to the pocket size, to hemostasis, and to wound closure. If the clinician does a poor job with the pocket component of the procedure, the entire outcome of the procedure can hang in the balance.


Wound Closure Wound Dehiscence Spinal Cord Stimulation Blunt Dissection Tissue Trauma 
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Suggested Reading

  1. Scheepensa EHJ, Weila GA, van Koeveringea D, et al. Placement of the implantable pulse generator: a new implantation technique for sacral neuromodulation – a multicenter study. Eur Neurol. 2001;40(4):2001.Google Scholar
  2. Vanhauwaert DJ, Kalala JP, Baert E, Hallaert G, et al. Migration of pump for intrathecal drug delivery into the peritoneal cavity. case report. Surg Neurol. 2008;71(5):610–612.PubMedCrossRefGoogle Scholar
  3. Winkelmüller M, Winkelmüller W. Long-term effects of continuous intrathecal opioid treatment in chronic pain of nonmalignant etiology. J Neurosurg. 1996;85:458–467.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Center for Pain ReliefCharlestonUSA

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