Clinical case of using of implantable spinal access port system

Abstract

This paper presents our experience of implantation and operation of the spinal access port system on the example of patient P, 78 years old. The admission diagnosis: malignant neoplasm of pancreas. Surgical treatment is contraindicated due to multiple metastases to the abdominal organs and lymph nodes. On admission to the hospital, the patient complained of persistent abdominal pain [68 points on Visual Analog Scale for Pain (VAS Pain)] was not relieved by the injection of NSAIDs and narcotic analgesics (morphine hydrochloride). We have decided to implant the spinal access port system to the patient aimed at neuraxial analgesia techniques. According to the World Health Organization (WHO), about 3.5 million people every day around the world suffer from cancer-related pain every day. The difficulties associated with the ineffectiveness of traditional pharmacological interventions for pain management lead to search alternative pain management. One of the aims of the paper is to attract the attention of treating doctors, surgeons, anesthesiologists to this technique because since it allows to reduce or relief of pain in this group of patients and improve their quality of life.