Factors influencing peripheral nerve suture results

1983 ◽  
Vol 102 (1) ◽  
pp. 51-55 ◽  
Author(s):  
H. Müller ◽  
G. Grubel
Keyword(s):  
Peripheral Nerve ◽  
Nerve Suture ◽  
Factors Influencing

The Validation of Measures of Outcome Following Suture of Divided Peripheral Nerves Supplying the Hand

1990 ◽  
Vol 15 (1) ◽  
pp. 25-34
Author(s):  
D. MARSH
Keyword(s):  
Peripheral Nerve ◽  
Peripheral Nerves ◽  
Sensory Function ◽  
The Other ◽  
Functional Tests ◽  
Nerve Suture ◽  
Classic Paper

Erik Moberg pioneered the idea of validating measures of sensory function following peripheral nerve suture by correlating their results with those of functional tests. However it is important that powerful prior variables (age at suture, time elapsed since suture and delay between injury and suture) be controlled. Failure to do this may result in spurious correlations, as illustrated by analysis of two sets of data, one collected by the author and the other given in the classic paper of Önne (1962).

Factors influencing peripheral nerve stimulation produced inhibition of primate spinothalamic tract cells

Pain ◽  
1984 ◽  
Vol 19 (3) ◽  
pp. 277-293 ◽  
Author(s):  
J. M. Chung ◽  
K. H. Lee ◽  
Y. Hori ◽  
K. Endo ◽  
W. D. Willis
Keyword(s):  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Peripheral Nerve Stimulation ◽  
Spinothalamic Tract ◽  
Factors Influencing

Technical Aspects of Peripheral Nerve Repair

1984 ◽  
Vol 9 (1) ◽  
pp. 14-19 ◽  
Author(s):  
MICHAEL E. JABALEY
Keyword(s):  
Peripheral Nerve ◽  
Peripheral Nerves ◽  
Nerve Repair ◽  
Wound Management ◽  
Suture Repair ◽  
Peripheral Nerve Repair ◽  
Technical Aspects ◽  
Nerve Suture ◽  
Definite Effect ◽  
Topographical Anatomy

This essay describes the internal topographical anatomy of peripheral nerves and outlines the use of this information in the specific steps of nerve suture. Repair is detailed in the context of overall wound management and those factors are emphasized which can be controlled by the surgeon and which have a definite effect on the functional outcome.

Assessment of Sensibility after Nerve Injury and Repair: A Systematic Review of Evidence for Validity, Reliability and Responsiveness of Tests

2005 ◽  
Vol 30 (3) ◽  
pp. 252-264 ◽  
Author(s):  
C. JEROSCH-HEROLD
Keyword(s):  
Peripheral Nerve ◽  
Psychometric Properties ◽  
Nerve Injury ◽  
Peripheral Nerve Injury ◽  
Standardized Test ◽  
Nerve Suture ◽  
Threshold Test ◽  
Injury And Repair ◽  
Robust Measures ◽  
Monofilament Test

Recovery of sensibility after peripheral nerve injury and repair needs to be assessed using psychometrically robust measures. In this study the literature was reviewed to identify what tests are available to quantify sensibility and to assess their validity, reliability and responsiveness. The databases Medline, CINAHL, Embase and AMED were searched for studies reporting the psychometric properties of sensibility tests. While there is a plethora of tests and studies reporting the outcomes after peripheral nerve suture only a few of the tests have evidence of validity, reliability and responsiveness. Currently the touch threshold test using monofilaments such as the Weinstein Enhanced Sensory Test (WEST) or Semmes–Weinstein Monofilament Test (SWMT) and the shape–texture identification (STI™) test for tactile gnosis are the only tests which meet criteria for a standardized test and have had their psychometric properties evaluated and quantified.

scholarly journals Nerve Suture Combined With ADSCs Injection Under Real-Time and Dynamic NIR-II Fluorescence Imaging in Peripheral Nerve Regeneration in vivo

2021 ◽  
Vol 9 ◽  
Author(s):  
Shixian Dong ◽  
Sijia Feng ◽  
Yuzhou Chen ◽  
Mo Chen ◽  
Yimeng Yang ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Nerve Regeneration ◽  
Real Time ◽  
Fluorescence Imaging ◽  
Nerve Injury ◽  
Peripheral Nerve Injury ◽  
Peripheral Nerve Regeneration ◽  
Post Injection ◽  
Nerve Suture

Peripheral nerve injury gives rise to devastating conditions including neural dysfunction, unbearable pain and even paralysis. The therapeutic effect of current treatment for peripheral nerve injury is unsatisfactory, resulting in slow nerve regeneration and incomplete recovery of neural function. In this study, nerve suture combined with ADSCs injection was adopted in rat model of sciatic nerve injury. Under real-time visualization of the injected cells with the guidance of NIR-II fluorescence imaging in vivo, a spatio-temporal map displaying cell migration from the proximal injection site (0 day post-injection) of the nerve to the sutured site (7 days post-injection), and then to the distal section (14 days post-injection) was demonstrated. Furthermore, the results of electromyography and mechanical pain threshold indicated nerve regeneration and functional recovery after the combined therapy. Therefore, in the current study, the observed ADSCs migration in vivo, electrophysiological examination results and pathological changes all provided robust evidence for the efficacy of the applied treatment. Our approach of nerve suture combined with ADSCs injection in treating peripheral nerve injury under real-time NIR-II imaging monitoring in vivo added novel insights into the treatment for peripheral nerve injury, thus further enhancing in-depth understanding of peripheral nerve regeneration and the mechanism behind.

scholarly journals Microsurgery of peripheral nerve injuries: Analysis of twenty-five year experiences

2003 ◽  
Vol 50 (1) ◽  
pp. 7-14
Author(s):  
Miroslav Samardzic
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Peripheral Nerves ◽  
The Other ◽  
Surgical Results ◽  
Operating Microscope ◽  
Peripheral Nerve Injuries ◽  
Nerve Injuries ◽  
Microsurgical Technique ◽  
Factors Influencing

Microsurgical procedures on injured peripheral nerves have been performed in Institute of neurosurgery in Belgrade for twenty-five years. During this period 1284 procedures, including 1029 on peripheral nerves, and 255 on brachial plexus were done. In this paper we analyze surgical results of individual procedures and the other factors influencing the outcome. Despite advances caused by introduction of the operating microscope, there are numerous controversies mainly in microsurgical technique that are discussed.

Reduction of neural scarring after peripheral nerve suture: An experimental study about collagen membrane and autologous vein wrapping

2012 ◽  
Vol 31 (6) ◽  
pp. 311-317 ◽  
Author(s):  
L. Mathieu ◽  
C. Adam ◽  
J. Legagneux ◽  
P. Bruneval ◽  
E. Masmejean
Keyword(s):  
Experimental Study ◽  
Peripheral Nerve ◽  
Collagen Membrane ◽  
Autologous Vein ◽  
Nerve Suture

Does the use of the operating microscope improve the results, of peripheral nerve suture?

1988 ◽  
Vol 82 (2) ◽  
pp. 376
Author(s):  
Richard W. Griffiths ◽  
D. Marsh ◽  
N. Barton
Keyword(s):  
Peripheral Nerve ◽  
Operating Microscope ◽  
Nerve Suture

End-to-side Nerve Suture in Clinical Practice

Hand Surgery ◽  
2003 ◽  
Vol 08 (01) ◽  
pp. 33-42 ◽  
Author(s):  
Ulrich Mennen
Keyword(s):  
Clinical Practice ◽  
Peripheral Nerve ◽  
Exact Nature ◽  
Primate Research ◽  
Nerve Grafting ◽  
Digital Nerve ◽  
Additional Method ◽  
Human Patient ◽  
Nerve Suture ◽  
Nerve Surgery

The phenomenon of lateral sprouting of axons into an end-to-side sutured recipient nerve is well documented. The exact nature, however, still needs further investigation. Since 1996, we have been continuously involved in primate research as well as using this end-to-side nerve suture (ETSNS) method in clinical practice. Fifty-six patients with a variety of conditions, ranging from brachial plexus avulsion to digital nerve lesions, have been operated. From our experience, it seems that the best results achieved are proximal motor re-innervation (e.g. biceps) and distal sensory re-innervation (e.g. volar skin of the hand). The discussion will cover various aspects for ETSNS in the human patient, such as indications, parameters, technique, and the importance of rehabilitation. ETSNS restores function in conditions previously difficult to operate, and may replace nerve grafting in many instances. It provides an additional method in our armamentarium in peripheral nerve surgery.

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