Free Greater Omentum Transfer After Neurolysis for Actinic (X-Ray) Lesions of the Brachial Plexus
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.
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- Brunelli G (1978) Lesioni del plesso brachiale in microchirurgia. Pelizza Brescia, pp 78–97.Google Scholar
- 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
- Clodius O, Uhlschmid G, Madridtsch W (1973) Chirurgische Möglichkeiten der Lymphödembehandlung. Folio Angiol 21:304–313.Google Scholar
- Kirikuta I (1963) L’emploi du grand epiploon dans la chirurgie du sein cancereux. Presse Medicale, pp 71:1.Google Scholar