Expansion of the Subcutaneous Compartment by Umbilicus Resection for Intrathecal Pump Placement: The “Karagoz-Hacivat Technique”

Intrathecal baclofen (ITB) for severe spasticity can encounter complications such as wound dehiscence and ulcers because of elevated intracompartmental pressure within the abdominal subcutaneous and subfascial pocket housing the pump. We propose an innovative technique to manage ITB wound ulcers.