Use of a new plasma scalpel during pulse generator implant and replacement in neuromodulation

Abstract Sacral neuromodulation (SNM) is a minimally invasive therapy for defecatory disorders. PEAK Plasma Blade™ (Medtronic) has been used as an alternative to the conventional electric scalpel and scissors in 3 procedures of neuromodulation. PEAK PlasmaBlade™ uses less total energy, operating at significantly lower temperatures than electrosurgical technology. No damage to the wires or pulse generators or patient complications were detected during the surgery or follow-up. A reduction in the duration of the procedures was noted.