Twiddler's syndrome (TS) is known to be an uncommon cause of device malfunction caused by excessive twisting of the pacemaker or ICD device in the pocket, resulting in dislodgement
of leads and device malfunction.
Tenacity depends on both attachment strength and the surface area exposed to wave forces and is directly linked to the probability of dislodgement
(Carrington et al.
8 points for the venous needle dislodgement
3 The paste form of denture adhesive was observed to be more resistant to dislodgement
than the powder.
No bleeding was noted over the VRC anastomosis sites, and no dislodgement
of VRCs was observed during or after operation in this series.
An omental tag of tape as a tubular securing mechanism, in addition to the skin suture, basically helping prevent volvulus, reduce complaints of local pain caused by traction and accidental dislodgement
of the drain, and was a routine procedure in most of the cases.
The incidence of accidental dislodgement
of epidural catheter reported by Brustalet al15 and Ballantyneet al17, in surgical patients, was between 10%-13%.
Other complications included hemolysis, cannula dislodgement
, uterine compression causing ineffective flow rate that improved after emergency cesarean section, and nosocomial infections, including urinary tract and line-related infections.
The extensive use of surgical clips in laparoscopic surgery has often led to a variety of complications like clip slippage, dislodgement
, ulceration, migration, internalization and necrosis of cystic duct with the risk of bile leakage.
The elimination of the visible lump and scar at a conventional pacemaker's implant site, in addition to the removal of patient activity restrictions that may prevent the dislodgement
or damage to a conventional lead, will potentially improve the quality of life for patients with this technology by allowing most to continue living active, uninhibited lifestyles.