{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:55:54Z","timestamp":1747184154822,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,29]],"date-time":"2022-10-29T00:00:00Z","timestamp":1667001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004374","name":"Medtronic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Due to the introduction of a new implantable pulse generator (IPG), the Interstim II, patients with either a dynamic graciloplasty or an abdominally placed IPG for sacral neuromodulation could not undergo surgery to replace their IPG in the case of end of battery life. For these patients, the Medtronic Replacement Adaptor 09106 was created. This retrospective case series aims to study safety and feasibility of the Medtronic Replacement Adaptor 09106 in patients with abdominally placed IPGs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventeen patients (11 women, six men) received a replacement adaptor with a follow\u2010up of 6\u00a0months. Outcome measures consisted of a bowel habit diary. Adverse events were classified using the Clavien\u2013Dindo classification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Outcome measures in the bowel habit diaries after replacement (feasibility) did not differ significantly from outcome measures before replacement. Adverse events occurred in four out of 17 patients (24%): two patients initially showed pocket site pain (Clavien\u2013Dindo Grade I), which resolved without intervention. One patient suffered from poor wound closure (Clavien\u2013Dindo Grade II) and one patient had persisting pocket pain (Clavien\u2013Dindo Grade IIIa) for which a pocket revision was performed. Statistical analyses were performed making paired comparisons using a Wilcoxon signed rank test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Medtronic Replacement Adaptor 09106 is a valuable option for patients with dynamic graciloplasty or sacral neuromodulation and abdominal IPG and has complication rates similar to replacement of the Interstim without Replacement Adaptor 09106.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16370","type":"journal-article","created":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T07:44:09Z","timestamp":1665647049000},"page":"150-155","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Replacement Adaptor 09106 for patients with a dynamic graciloplasty or patients with sacral neuromodulation and abdominal implantable pulse generator<scp>s:<\/scp> a retrospective, single centre, Stage 2a\/2b development <scp>IDEAL<\/scp> case series"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6324-8068","authenticated-orcid":false,"given":"Roman","family":"Assmann","sequence":"first","affiliation":[{"name":"Department of Surgery Maastricht University Medical Center  Maastricht the Netherlands"},{"name":"Department of Translational Neuroscience, School for Mental Health and Neuroscience (MHeNS) Maastricht University  Maastricht the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Perla","family":"Douven","sequence":"additional","affiliation":[{"name":"Department of Translational Neuroscience, School for Mental Health and Neuroscience (MHeNS) Maastricht University  Maastricht the Netherlands"},{"name":"Department of Urology Maastricht University Medical Center  Maastricht the Netherlands"},{"name":"Department of Anesthesiology and Pain Management Maastricht University Medical Center  Maastricht the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elbert A.","family":"Joosten","sequence":"additional","affiliation":[{"name":"Department of Translational Neuroscience, School for Mental Health and Neuroscience (MHeNS) Maastricht University  Maastricht the Netherlands"},{"name":"Department of Anesthesiology and Pain Management Maastricht University Medical Center  Maastricht the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gommert A.","family":"van Koeveringe","sequence":"additional","affiliation":[{"name":"Department of Translational Neuroscience, School for Mental Health and Neuroscience (MHeNS) Maastricht University  Maastricht the Netherlands"},{"name":"Department of Urology Maastricht University Medical Center  Maastricht the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie O.","family":"Breukink","sequence":"additional","affiliation":[{"name":"Department of Surgery Maastricht University Medical Center  Maastricht the Netherlands"},{"name":"Department of Translational Neuroscience, School for Mental Health and Neuroscience (MHeNS) Maastricht University  Maastricht the Netherlands"},{"name":"NUTRIM School of Nutrition and Translational Research in Metabolism  Maastricht the Netherlands"},{"name":"GROW School for Oncology and Developmental Biology  Maastricht the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jarno","family":"Melenhorst","sequence":"additional","affiliation":[{"name":"Department of Surgery Maastricht University Medical Center  Maastricht the Netherlands"},{"name":"GROW School for Oncology and Developmental Biology  Maastricht the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010195206000\u201000010"},{"volume-title":"Exercise physiology: 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