ISSN:
1436-2023
Keywords:
peripheral nerve
;
neurotmesis
;
epineurial suture
;
funicular suture
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Peripheral nerve suture (neurorrhaphy) is a method of nerve repair that has been employed for many years, although the development and spread of microsurgery has helped to improve the techniques used. Now, by using microscopes and microsurgical techniques, peripheral nerve suturing can be performed more precisely and atraumatically than in the past. The technique is now indicated for a wider range of cases, including suturing of the brachial plexus and its branched axillary nerve, and for digital nerves. In addition to conventional epineurial sutures, a funicular suture has been introduced, and results using these two methods are now being compared. Advances have also been made in the field of rehabilitation, including the introduction of electromyogram (EMG) biofeedback therapy and re-education of sensation. Included in the issues that need to be further addressed are the treatment of nerve injuries caused by severe crushing and traction, and misdirection of regenerated nerves. It is hoped that more studies will be carried out to encompass a broad range of topics, from basic research to promote nerve regeneration to rehabilitation. In this paper, the author reviews the past 20 years, experience of peripheral nerve suturing, discusses the problems encountered, and outlines future prospects.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02349820
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