Uses of Electrical Stimulation for Digestive and Endocrine Surgeons

Jaime Ruiz-Tovar, M.D., Ph.D. (Editor)
Department of Bariatric Surgery, Centro de Excelencia para el Diagnóstico y Tratamiento de la Obesidad, Valladolid, Spain

Series: Endocrinology Research and Clinical Developments, New Developments in Medical Research
BISAC: MED085000

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The use of electrical stimulators with medical aims has increased exponentially in the last years. The uses are very different. Though the most widely known are referred to as the approaches performed by neurosurgeons, evidence has recently appeared, supporting its use by many other medical specialties.

Electrical stimulation can be applied transcutaneously (TENS) or percutaneously (PENS). The target of electrical stimulation can be a nerve, inducing electric conductivity and finally acting over the innervated structure, which is activated, or starting a reflex with the involvement of the spinal cord. The stimulation can also act directly over a muscle, inducing a contraction. The effects of electrical stimulation are very diverse, ranging from the development of an artificial reflex and consequently activating the stomach, the pancreas or a sphincter, to a continuous muscular contraction, provoking hypertrophia of the structure and hyperfunction, or to the identification of a laryngeal recurrent nerve during a thyroidectomy, avoiding its damage. Moreover, electrical stimulation has been also used to reduce the feeling of pain, as the stimulation of somatic fibers somehow masks the transmission of nociceptive ones.

The aim of this book is to revise the actual evidence about the different uses of electrical stimulation by digestive and endocrine surgeons.
(Imprint: Nova Medicine and Health)

Preface

Chapter 1. Mechanism of Action of Peripherical Electrical Stimulation (TENS and PENS)
(Pablo Priego, Department of General Surgery, Division of Esophagogastric and Bariatric Surgery, Ramón y Cajal University Hospital, Madrid, Spain)

Chapter 2. A Percutaneous Electrical Neurostimulation of the Posterior Tibial Nerve for Fecal Incontinence
(Maria del Mar Aguilar-Martínez, MD, Luis Sánchez-Guillén, MD, and Antonio Arroyo, MD, PhD, Colorectal Surgery Unit. Service of General and Digestive Surgery, University General Hospital of Elche, Elche, Alicante, Spain, and others)

Chapter 3. Percutaneous Electrical Neurostimulation of Dermatome T6 for the Treatment of Obesity
(Jaime Ruiz-Tovar, MD, PhD, and Carolina Llavero, Electrostimulation Unit, Clinica Garcilaso, Madrid, Spain)

Chapter 4. Percutaneous Electrical Neurostimulation of Dermatome T7 for the Treatment of Diabetes Mellitus
(Jaime Ruiz-Tovar, MD, PhD, and Carolina Llavero, Electrostimulation Unit, Clinica Garcilaso, Madrid, Spain)

Chapter 5. Postoperative Percutaneous Abdominal Electrical Stimulation (PPAES) for Ileus in Patients Undergoing Colorectal Resection
(Pedro Moya, Manuel Ferrer-Márquez, Francisco Rubio-Gil, Rafael Calpena and Angel Reina, Department of General Surgery, Division of Colorectal Surgery, University Hospital of Torrecardenas, Almeria, Spain, and others)

Chapter 6. Electrical Stimulation for the Management of Postoperative Pain
(Andrés García Marín and Mercedes Pérez López, Department of Pathology and Surgery, University Miguel Hernández, Elche, Spain)

Chapter 7. Electrical Stimulation for Improving Physical Fitness Pre- and Postoperatively after Abdominal Surgery
(Artur Marc Hernández, PhD, Laboratory of Training Analysis and Optimization, Sports Research Center, Miguel Hernández University, Elche, Alicante, Spain)

Chapter 8. Intraoperative Neuromonitoring of the Recurrent Laryngeal Nerve
(Manuel Durán Poveda, Leire Zarain Obrador, Alejandro García Muñoz-Najar, Jaime Ruiz-Tovar and Gianlorenzo Dionigi, Professor of Surgery. Faculty of Health Sciences, King Juan Carlos University. Madrid, Spain, and others)

Index

Keywords: Electrical neurostimulation, PENS, TENS

Audience:
Professionals: Bariatric surgeons, Endocrine surgeons, Anesthesiologists, General practitioners, Nurses and Medical students.

Industry: Medical industry of neurostimulation devices (Uroplasty,…)

Non-professionals: Obesity and diabetic patients, patients with incontinence or undergoing neck surgery, general population interested in fitness

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