scholarly journals Intravenous Access in Infants Undergoing Bilateral Sural Nerve Grafts for Primary Brachial Plexus Exploration

2017 ◽  
Vol 5 (10) ◽  
pp. e1540
Author(s):  
Mohammad M. Al-Qattan ◽  
Amel A. F. El-Sayed
Keyword(s):  
Brachial Plexus ◽  
Sural Nerve ◽  
Intravenous Access ◽  
Nerve Grafts

Repair of Isolated Axillary Nerve Lesions after Infraclavicular Brachial Plexus Injuries: Case Reports

Neurosurgery ◽  
1990 ◽  
Vol 27 (3) ◽  
pp. 403-407 ◽  
Author(s):  
Allan H. Friedman ◽  
James A. Nunley ◽  
James R. Urbaniak ◽  
Richard D. Goldner
Keyword(s):  
Brachial Plexus ◽  
Muscle Function ◽  
Sural Nerve ◽  
Spontaneous Recovery ◽  
Case Reports ◽  
Deltoid Muscle ◽  
Axillary Nerve ◽  
Shoulder Abduction ◽  
Surgical Exploration ◽  
Nerve Grafts

Abstract Stretch injuries of the infraclavicular brachial plexus have a much better prognosis for spontaneous recovery than do their supraclavicular counterparts. We present three patients with stretch injuries of the infraclavicular brachial plexus who had spontaneous restoration of function in all muscles except the deltoid. Decreased shoulder abduction was a serious handicap to these individuals. At surgical exploration, each patient had an isolated, complete axillary nerve disruption at the quadrilateral space. Deltoid muscle function was restored in all three patients by repair of the axillary nerve with sural nerve grafts across the quadrilateral space.

scholarly journals A Rare Case of Synovial Sarcoma Involving the Brachial Plexus, Treated with Wide Local Excision and Reconstructed with Sural Nerve Grafts

2019 ◽  
Vol 10 (3) ◽  
pp. 435-436
Author(s):  
Kuldeepsinh Pradipkumar Atodaria ◽  
Nikunj KishorkumarVithalani ◽  
Atul Gajendra Bharambe ◽  
Bharat Chandra Mishra ◽  
Keshvi Mahendrasinh Chauhan
Keyword(s):  
Brachial Plexus ◽  
Synovial Sarcoma ◽  
Local Excision ◽  
Wide Local Excision ◽  
Sural Nerve ◽  
Rare Case ◽  
Nerve Grafts

scholarly journals Complete Femoral Nerve Transection with Sural Nerve Cable Graft in a 21-Month-Old Child

2019 ◽  
Vol 10 (01) ◽  
pp. 139-141 ◽  
Author(s):  
Pranati Pillutla ◽  
Evan Nix ◽  
Benjamin Wallace Elberso ◽  
Laszlo Nagy
Keyword(s):  
Peripheral Nerve Injury ◽  
Sural Nerve ◽  
Pediatric Population ◽  
Femoral Nerve ◽  
Severe Trauma ◽  
Nerve Transection ◽  
Effective Management ◽  
Surrounding Area ◽  
Regenerative Capacity ◽  
Nerve Grafts

ABSTRACTSevere peripheral nerve injury occasionally requires urgent nerve grafting especially with significant separation of the proximal and distal ends of the injured nerve. Proper reinnervation to provide continued sensory and motor function is essential especially in the pediatric population. These patients would suffer lifelong disability without correction, yet have significantly improved regenerative capacity with prompt and effective management, making nerve grafts an ideal choice for complete nerve transection. This case report describes the successful sural nerve cable graft reinnervation of a transected femoral nerve in a 21-month-old male. This procedure was made difficult by severe trauma to the surrounding area with laceration of the femoral artery, significant separation of the femoral nerve ends, and the compact anatomy of such a young patient.

scholarly journals Neurophysiological studies of autogenous sural nerve grafts.

1978 ◽  
Vol 41 (8) ◽  
pp. 677-683 ◽  
Author(s):  
R Tallis ◽  
P Staniforth ◽  
T R Fisher
Keyword(s):  
Sural Nerve ◽  
Nerve Grafts ◽  
Neurophysiological Studies

scholarly journals Functional Outcomes of Multiple Sural Nerve Grafts for Facial Nerve Defects after Tumor-Ablative Surgery

2015 ◽  
Vol 42 (4) ◽  
pp. 461 ◽  
Author(s):  
Myung Chul Lee ◽  
Dae Hee Kim ◽  
Yeo Reum Jeon ◽  
Dong Kyun Rah ◽  
Dae Hyun Lew ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Functional Outcomes ◽  
Sural Nerve ◽  
Nerve Grafts ◽  
Ablative Surgery

Long-Term Outcomes of Brachial Plexus Reconstruction with Sural Nerve Autograft for Brachial Plexus Birth Injury

2019 ◽  
Vol 143 (5) ◽  
pp. 1017e-1026e ◽  
Author(s):  
M. Claire Manske ◽  
Andrea S. Bauer ◽  
Vincent R. Hentz ◽  
Michelle A. James
Keyword(s):  
Brachial Plexus ◽  
Sural Nerve ◽  
Birth Injury ◽  
Long Term Outcomes ◽  
Nerve Autograft ◽  
Brachial Plexus Birth Injury

RESULTS OF END-TO-SIDE NERVE COAPTATION IN SEVERE OBSTETRIC BRACHIAL PLEXUS LESIONS

Neurosurgery ◽  
2008 ◽  
Vol 62 (3) ◽  
pp. 656-663 ◽  
Author(s):  
Willem Pondaag ◽  
Alain Gilbert
Keyword(s):  
Brachial Plexus ◽  
Nerve Repair ◽  
Multiple Root ◽  
Axonal Outgrowth ◽  
Distal Stump ◽  
Nerve Grafts ◽  
Small Series ◽  
Obstetric Brachial Plexus ◽  
Plexus Lesion

Abstract OBJECTIVE Options for nerve repair are limited in brachial plexus lesions with multiple root avulsions because an insufficient number of proximal nerve stumps are available to serve as lead-out for nerve grafts. End-to-side nerve repair might be an alternative surgical technique for repair of such severe lesions. In this technique, an epineurial window is created in a healthy nerve, and the distal stump of the injured nerve is coapted to this site. Inconsistent results of end-to-side nerve repairs in traumatic nerve lesions in adults have been reported in small series. This article evaluates the results of end-to-side nerve repair in obstetric brachial plexus lesions and reviews the literature. METHODS A retrospective analysis was performed of 20 end-to-side repairs in 12 infants. Evaluation of functional recovery of the target muscle was performed after at least 2 years of follow up (mean, 33 mo). RESULTS Five repairs failed (25%). Seven times (35%) good function (Medical Research Council at least 3) of the target muscle occurred in addition to eight partial recoveries (40%). In the majority of patients, however, the observed recovery cannot be exclusively attributed to the end-to-side repair. The reinnervation may be based on axonal outgrowth through grafted or neurolyzed adjacent nerves. It seems likely that recovery was solely based on the end-to-side repair in only two patients. No deficits occurred in donor nerve function. CONCLUSION This study does not convincingly show that the end-to-side nerve repair in infants with an obstetric brachial plexus lesion is effective. Its use cannot be recommended as standard therapy.

scholarly journals Correction of iatrogenic injury of the obturator nerve during pelvic laparoscopic lymphadenectomy by the use of sural nerve grafts

2014 ◽  
Vol 10 ◽  
pp. 16-18 ◽  
Author(s):  
A.R. Dias ◽  
A. Silva e Silva ◽  
J.P. Carvalho ◽  
E.C. Baracat ◽  
G. Favero
Keyword(s):  
Sural Nerve ◽  
Obturator Nerve ◽  
Iatrogenic Injury ◽  
Nerve Grafts

scholarly journals Microsurgical procedures for peripheral nerve lesions: Choice of anesthesia

2003 ◽  
Vol 50 (1) ◽  
pp. 27-31
Author(s):  
Valentina Stevanovic ◽  
Branko Milakovic ◽  
Zorica Stanimirovic ◽  
Mila Stosic
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Sural Nerve ◽  
Brachial Plexus Block ◽  
Body Position ◽  
Nerve Lesions ◽  
Axillary Approach ◽  
Peripheral Nerve Lesions ◽  
Plexus Block ◽  
Endotracheal Anesthesia

Microsurgical procedures on peripheral nerve lesions have their own specifics. Those are: duration and extent of operation, and need to change body position during operation. General endotracheal anesthesia has been used for operations on brachial plexus lesions with neural transpher; on peripheral nerve lesions with sural nerve autotransplantations; on all extracranial lesions (facial n. and lesion hypoglossal n.); for lesions of plexus lumbalis and sciatic nerve. These operations are requesting turning of patient on the lateral or ventral position or they are performed on head and neck. Because operation and anesthesia last longer, general ET anesthesia is more suitable for neurosurgens and anesthesiologist's interventions. Regional anesthesia, i.e. neural plexus block, is suitable for operations on upper extremity. Then we perform brachial plexus block with more approaches. There has been frequently in use axillary approach which is easier to perform, has minimum of complications and is suitable for procedures at cubital region, forearm and hand.

Effects of humeral shortening on the three-dimensional configuration of the brachial plexus: a cadaveric study

2019 ◽  
Vol 44 (6) ◽  
pp. 632-639
Author(s):  
Jérôme Valcarenghi ◽  
Fabian Moungondo ◽  
Aurélie Andrzejewski ◽  
Véronique Feipel ◽  
Frédéric Schuind
Keyword(s):  
Brachial Plexus ◽  
Three Dimensional ◽  
Cadaveric Study ◽  
Humeral Shaft ◽  
Nerve Grafts ◽  
Three Dimensional Configuration ◽  
Nerve Suturing ◽  
Different Parts

This study reports the gains in length of nerves after three different humeral shortenings. Ten brachial plexuses were dissected. The lengths of the different parts of the brachial plexus were measured using a three-dimensional digitizing system after humeral shaft shortenings of 2, 4 and 6 cm and after a standardized force of 0.588 N was used to apply tension to the plexus. The feasibility of nerve suturing was studied. Humeral shortening allowed for significant gains in lengths of the musculocutaneous (42 mm), median (41 mm), ulnar (29 mm) and radial nerves (15 mm). A 2 cm humeral shortening allowed a 2 cm nerve gap to be directly sutured in 70% to 90% of cases. This study suggests that humeral shortening could allow direct suture of nerve defects, or shorten the length of nerve grafts required to bridge a gap.

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