Some Peripheral Nerve Problems

Lewis, Dean

doi:10.1056/nejm192306211882501

Cited by 8 publications

(3 citation statements)

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“…DaB die Narben an der distalen Nahtstelle ein Hindernis darstellen k6nnen, wurde von Stookey (1919), Lewis (1923), Davis und Cleveland (1934) und anderen behauptet. Guttmann und Sanders (1942), Bj6rkesten (1948) und Seddon (1954 sahen dagegen in der distalen Nahtstelle kein Hindernis.…”

Section: Diskussionunclassified

Experimental study of healing of trans-sected peripheral nerves

1972

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Experimental Study of Healing of Trans-Sected Peripheral NervesSummary. The behavior of the connective tissue during the healing of transsected nerves was studied. Experiments were carried out with rabbits. The sciatic nerve was trans-seeted and repaired using different techniques. Postoperatively the animals were all treated in exactly the same way. The clinical course was registrated carefully, with special attention to the return of the motor function and the occurence and extension of decubital ulcers. Finally the animals were sacrified, and the site of nerve repair was excised and histologically examined using H~matoxilin, Eosin. Van Gieson, Kresylviolett, Kliiver-Barriera, Sudan-Schwarz B, Bodian staining.Two different techniques were compared by operating on the two sciatique nerves of the same animal. Individual factors could be excluded as the result of each two operations was compared in the same individual.A. In 32 rabbits, 64 sciatic nerves were repaired by epineural end-to-end suture (Mersilen 6 • 0) in order to study the timing of the healing process.

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Section: Diskussionunclassified

Experimental study of healing of trans-sected peripheral nerves

1972

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“…Of course, the distal end of the graft presents a potential obstacle because the development of scar tissue might block further extension of the axon sprouts. In the past, resection of the distal suture site was necessary in the majority of long grafts [48,49]. However, with interfascicular grafting, a block at the distal suture site occurred in only 7 of the first 50 cases (14%), and with increasing experience, this percentage has dropped.…”

Section: Basic Steps Of Nerve Repairmentioning

confidence: 99%

Microsurgery of peripheral nerves

Millesi

1979

World j. surg.

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Development of microsurgical techniques represents a major advance in the surgery of peripheral nerves. The operating microscope makes it possible to evaluate the severity of trauma to nerve tissue more accurately than other methods. Microsurgery has made it possible to perform atraumatic interfascicular dissection in operations for various nerve lesions, including tumors, fibrosis due to irritation, compression or ischemia, and traumatic injuries with preserved continuity. Interfascicular dissection has proved to be particularly useful in nerve segments with a polyfascicular pattern and group arrangement. The results of nerve grafting have been improved significantly by microsurgical techniques.

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“…The possibility of scar formation of the distal end of the graft led surgeons to resect the distal suture site at a second stage and perform a new end-to-end neurorrhaphy [36][37][38][39][40][41][42].…”

mentioning

confidence: 99%