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Mikrochirurgie der peripheren Nerven

  • H. Millesi

Zusammenfassung

Als die ersten Chirurgen begannen, das Operationsmikroskop zur Durchführung von Nervennähten zu verwenden (Smith 1964; Kurze 1964; Michon u. Masse 1964), schien dies der logische Endpunkt einer langjährigen Entwicklung zu sein. Seit 100 Jahren (Hueter 1873) hatte sich die epineurale Nervennaht zur Methode der Wahl entwickelt. Die Technik war immer mehr verbessert worden, und zwar sowohl im Hinblick auf das verwendete Nahtmaterial als auch auf die Genauigkeit der Koaptation der Stümpfe. Viele Chirurgen verwendeten bereits seit Jahren eine Lupe, um diese Koaptation exakt durchführen zu können. Die Heranziehung des Operationsmikroskopes bedeutete nur einen konsequenten Schritt in die bereits eingeschlagene Richtung.

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© Springer-Verlag Berlin Heidelberg 1984

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  • H. Millesi

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