Surgical treatment of gunshot injuries of peripheral nerves

1923 ◽  
Vol 19 (5) ◽  
pp. 18-24
Author(s):  
V. L. Bogolyubov

The issue of surgical treatment of gunshot injuries of peripheral nerves until the last war seemed to be extremely underdeveloped. Only the experience of the last World War clarified many aspects of this issue, significantly changing the surgeons' views on the treatment of nerve wounds. However, despite this, even at present the issue of surgical treatment of gunshot nerve injuries seems to be far from exhausted and deserves attention in many respects.

Vestnik ◽  
2021 ◽  
pp. 131-135
Author(s):  
Е.К. Дюсембеков ◽  
А.Р. Халимов ◽  
И.Т. Курмаев ◽  
А.В. Николаева ◽  
А.С. Жайлаубаева ◽  
...  

Проведено исследование 93 пациентов с ятрогенными повреждениями периферических нервов, 11,7% по отношению ко всем оперированным пациентам. Женщин было 51, мужчин 42. Пациенты трудоспособного возраста составили 88%. Позднее обращение за специализированной нейрохирургической помощью составило 53,7%. Чаще всех повреждался седалищный нерв - 29,1%, затем лучевой нерв - 22,6%. Наиболее частые причины ятрогенных осложнений - это операции на опорно-двигательном аппарате (79 - 84,9%). Представлены виды оперативных вмешательств, предложены меры по профилактике и своевременному специализированному лечению больных с ятрогенными повреждениями нервов. Research has been done of 93 patients with iatrogenic injuries of peripheral nerves. It amounted to 11,7 per cent of all patients, who received surgical treatment. In the absolute value, there were 51 men and 42 women in gender equivalent. The significant quantity of working age patients amounts to 88%. 53.7% - it is late referral to specialized neurosurgical care. The volume of sciatic nerve injuries was the largest and amounted to 29,1%, the next a radial nerve - 22,6%. Most common causes of harmful complications there are operations on the musculoskeletal system (79 - 84,9%).The article shows the types of surgery, preventive measures and timely specialized treatment of patients with iatrogenic nerve injuries were proposed


2012 ◽  
Vol 153 (45) ◽  
pp. 1767-1778 ◽  
Author(s):  
Vilmos Bíró

The author summarizes the most important data about the development of reconstructive techniques of nerve injuries in the hand based on literature references and the author’s own experience in the past decades. A new bulk of knowledge turned into a common property related to the micro- and macroanatomic structure of peripheral nerves, the process of nerve regeneration, and the technical conditions of nerve reconstructive operations. This knowledge is a prerequisite for hand surgeons to perform their nerve reconstructive operations on a contemporary high level with an optimal result. After a critical review of literature data, the author reports his own experience and sketches the coming possible roads. A detailed list of references is also provided for those who are interested in the field. Orv. Hetil., 2012, 153, 1767–1778.


Author(s):  
Gerard Mullins ◽  
Julian Ray

The continued growth of recreational and competitive sports has been accompanied by an increased incidence of nerve injuries that have been traditionally associated with other types of occupational injury (Krivickas and Wilbourn 1998). Peripheral nerves are susceptible to injury in the athlete because of excessive physiological demands (...


1999 ◽  
Vol 5 (1_suppl) ◽  
pp. 83-88 ◽  
Author(s):  
S. Miyachi ◽  
M. Negoro ◽  
T. Okamoto ◽  
O. Suzuki ◽  
J. Yoshida

We reviewed 201 unruptured vertebro-basilar aneurysms encountered at our institute and 35 affiliated hospitals over the past 8 years. Of these, 106 aneurysms in 103 patients were treated with surgical or endovascular approaches: 43 aneurysms, surgically with clipping or wrapping; and 63 endovascularly with embolization. Outcome was excellent or good in 87 patients (84.5%). Among 24 patients with 36 complications, 16 had unfavorable outcomes including five deaths. Twelve patients (27.9%) with surgical treatment and two (3.3%) with endovascular treatment had unfavorable results because of treatment-related complications. Two patients with surgical treatment had complications related to perioperative management. Vascular occlusive complications were likeliest to occur in surgically treated basilar artery aneurysms (41%). Among surgically treated aneurysms the vertebral artery site was relatively associated with cranial nerve injuries. Complications numbered 36, occurring in 24 patients and 54% of complications affected outcome. Overall morbidity and mortality of surgical treatment were 18.6% and 7.0%, respectively, while those of endovascular treatment were 5.0% and 3.3%. In conclusion, complications of surgery tend to be serious and affect outcome, and endovascular treatment is safer than surgical for vertebro-basilar aneurysms. Embolizations are particularly advantageous for patients who are poor surgical risks.


2014 ◽  
Vol 5 (3) ◽  
pp. 64-66
Author(s):  
Marina Nikolayevna Romanova ◽  
Nikolay Grigoryevich Zhila ◽  
Yelena Vladimirovna Sinelnikova

Ultrasound imaging of peripheral nerves can accurately determine the level of damage, and also to assess the extent of damage to the structure of the nerve fiber. Early detection of the type of damage can significantly improve patient outcomes.


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