Sural nerve grafting for long defects of the femoral nerve after resection of a retroperitoneal tumour

Tsuchihara, Toyokazu; Nemoto, Koichi; Arino, Hiroshi; Amako, Masatoshi; Murakami, Hideaki; Yoshizumi, Yutaka

doi:10.1302/0301-620x.90b8.20428

Cited by 23 publications

(14 citation statements)

References 17 publications

(16 reference statements)

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“…It is a graft donor for many other nerves including the sciatic nerve (Shin et al, 2006), the femoral nerve (Tsuchihara et al, 2008), the oculomotor nerve (Mariniello et al, 1999), the inferior alveolar nerve (Chang et al, 2012), and the facial nerve (Lee et al, 2015). It is a graft donor for many other nerves including the sciatic nerve (Shin et al, 2006), the femoral nerve (Tsuchihara et al, 2008), the oculomotor nerve (Mariniello et al, 1999), the inferior alveolar nerve (Chang et al, 2012), and the facial nerve (Lee et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Although it is a skin sensory nerve, the sural nerve has several clinical uses. It is a graft donor for many other nerves including the sciatic nerve (Shin et al, 2006), the femoral nerve (Tsuchihara et al, 2008), the oculomotor nerve (Mariniello et al, 1999), the inferior alveolar nerve (Chang et al, 2012), and the facial nerve (Lee et al, 2015). Its utility stems from the fact that it is easy to find and harvest due to its usual location in the superficial fascia and just posterior to the lateral malleolus in close association with the small saphenous vein.…”

Section: Introductionmentioning

confidence: 99%

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Variations in sural nerve formation pattern and distribution on the dorsum of the foot

2017

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The sural nerve, a cutaneous nerve, is clinically important because it is frequently for nerve conduction testing, biopsy, and harvesting for nerve grafts. This nerve exhibits a wide variety of variation in formation, distribution on the dorsum of the foot, and so on, depending on the population observed. In this study, we examined the variation in the sural nerve in 110 Korean cadavers. Of these cadavers, 86.1% of the sural nerves corresponded to type A, where tibial and peroneal components were united to form the sural nerve. These two components most frequently united (65.9%) in the third quarter of the calf, and when the union position was expressed as a ratio to calf length, it corresponded to 0.408 in men and 0.346 in women, with a statistically significant difference. Due to this sexual dimorphism in addition to shorter calf length in females, the length of the sural nerve was shorter in females (male average length: 14.5 ± 4.8 cm; female average length: 11.4 ± 2.9 cm). In terms of distribution of the lateral dorsal cutaneous nerve, the distal continuation of the sural nerve on the dorsum of the foot, it showed variation in association with the superficial peroneal nerve. The innervation of the sural nerve extended most frequently up to the lateral two and a half toes, solely or in conjunction with the superficial peroneal nerve. Obtaining further information regarding sural nerve variation will be useful for various clinical procedures and interpretation of sural nerve conduction results. Clin. Anat. 30:525-532, 2017. © 2017 Wiley Periodicals, Inc.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Variations in sural nerve formation pattern and distribution on the dorsum of the foot

2017

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“…For example, patients with facial paralysis suffer functional, cosmetic, and psychological problems which impair the ability to communicate [2]. In order to better preserve quality of life after surgery, nerve grafting will be required to bridge the gap between two ends of a nerve after cancer resection [3]. Unfortunately, in spite of the impressive technical advancements in nerve reconstruction, complete recovery and normalization of nerve function is difficult to achieve [4], [5].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Irreversible Electroporation (IRE) on Nerves

et al. 2011

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BackgroundIf a critical nerve is circumferentially involved with tumor, radical surgery intended to cure the cancer must sacrifice the nerve. Loss of critical nerves may lead to serious consequences. In spite of the impressive technical advancements in nerve reconstruction, complete recovery and normalization of nerve function is difficult to achieve. Though irreversible electroporation (IRE) might be a promising choice to treat tumors near or involved critical nerve, the pathophysiology of the nerve after IRE treatment has not be clearly defined.MethodsWe applied IRE directly to a rat sciatic nerve to study the long term effects of IRE on the nerve. A sequence of 10 square pulses of 3800 V/cm, each 100 µs long was applied directly to rat sciatic nerves. In each animal of group I (IRE) the procedure was applied to produce a treated length of about 10 mm. In each animal of group II (Control) the electrodes were only applied directly on the sciatic nerve for the same time. Electrophysiological, histological, and functional studies were performed on immediately after and 3 days, 1 week, 3, 5, 7 and 10 weeks following surgery.FindingsElectrophysiological, histological, and functional results show the nerve treated with IRE can attain full recovery after 7 weeks.ConclusionThis finding is indicative of the preservation of nerve involving malignant tumors with respect to the application of IRE pulses to ablate tumors completely. In summary, IRE may be a promising treatment tool for any tumor involving nerves.

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“…1,2,9,10,20 A few studies and reports have dem onstrated the feasibility of nerve transfers and reconstruc tion of the femoral and obturator nerves. 4,6,14,19 Nerves of the lower extremities travel farther than those of the up per extremities. Guidelines regarding when to surgically intervene for peripheral nerve injury involving the lower extremities are lacking.…”

Section: Discussionmentioning

confidence: 99%

Functional recovery of severe obturator and femoral nerve injuries after lateral retroperitoneal transpsoas surgery

Ahmadian¹,

Abel²,

Uribe³

2013

SPI

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The minimally invasive lateral retroperitoneal transpsoas approach is a popular fusion technique. However, potential complications include injury to the lumbar plexus nerves, bowel, and vasculature, the most common of which are injuries to the lumbar plexus. The femoral nerve is particularly vulnerable because of its size and location; injury to the femoral nerve has significant clinical implications because of its extensive sensory and motor innervation of the lower extremities. The authors present an interesting case of a 49-year-old male patient in whom femoral and obturator nerve functional recovery unexpectedly occurred 364 days after the nerves had been injured during lateral retroperitoneal transpsoas surgery. Chronological video and electrodiagnostic findings demonstrate evidence of recovery. Classification and mechanisms of nerve injury and nerve regeneration are discussed.

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Sural nerve grafting for long defects of the femoral nerve after resection of a retroperitoneal tumour

Cited by 23 publications

References 17 publications

Variations in sural nerve formation pattern and distribution on the dorsum of the foot

Variations in sural nerve formation pattern and distribution on the dorsum of the foot

The Effects of Irreversible Electroporation (IRE) on Nerves

Functional recovery of severe obturator and femoral nerve injuries after lateral retroperitoneal transpsoas surgery

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