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Free Greater Omentum Transfer After Neurolysis for Actinic (X-Ray) Lesions of the Brachial Plexus

  • G. Brunelli
  • L. Monini
  • F. Brunelli
Conference paper

Abstract

X-ray radiation is still in use, mainly after mastectomy for breast cancer to avoid recurrence in lymphnodes, axilla, and supraclavicular fossa but also for other conditions (e.g., Hodgkin’s disease, hemangiomas). Radiation causes severe devascularization and paraneural sclerosis (Fig. 1) that result in chronic nerve compression, axonostenosis, and axonal suffering with progressive palsy, which in more than 50 % of cases is associated with severe pain, often so excruciating that it may lead to suicide.

Keywords

Brachial Plexus Great Omentum External Jugular Vein Gastroepiploic Artery Facial Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Brunelli G (1978) Lesioni del plesso brachiale in microchirurgia. Pelizza Brescia, pp 78–97.Google Scholar
  2. Brunelli G (1980) Neurolysis and free microvascular omentum transfer in the treatment of postactinic palsies of the brachial plexus. Int Surg 65:6.Google Scholar
  3. Clodius O, Uhlschmid G, Madridtsch W (1973) Chirurgische Möglichkeiten der Lymphödembehandlung. Folio Angiol 21:304–313.Google Scholar
  4. Dupot C, Menard Y (1972) Transposition of greater omentum for reconstruction of the chest wall. Plast Reconstr Surg 49:263.CrossRefGoogle Scholar
  5. Kirikuta I (1963) L’emploi du grand epiploon dans la chirurgie du sein cancereux. Presse Medicale, pp 71:1.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • G. Brunelli
    • 1
  • L. Monini
    • 1
  • F. Brunelli
    • 1
  1. 1.BresciaItaly

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