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Micronerve Suture and Graft in the Rat

  • Yoshiaki Yanase

Abstract

In the last several decades, great advances have been made in surgery of the peripheral nerves. Anatomical studies by Ito [1] and Sunderland [2], the concept of tension-free nerve repair by Millesi [3], intraoperative stimulation or recording of individual funiculi by Hakstlan [4] and Nakatsuchi [5], and other experimental studies have significantly influenced our knowledge of nerve injury and re pair. The advantages of using an operating microscope, microinstrumentation, and atraumatic suture materials are remarkable. Microsurgery helps to improve the results of peripheral nerve repair, because intraneural neurolysis is safer, identification of intraneural topography is easier, and the nerve suture technique is much less traumatic.

Keywords

Peripheral Nerve Sciatic Nerve Suture Material Nerve Graft Nerve Repair 
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. 1.
    Ito T. (1977) Surgery of the peripheral nerve. Igaku Shoin, Tokyo, pp 64–80 (in Japanese)Google Scholar
  2. 2.
    Sunderland S. (1978) Nerves and nerve injuries. Churchill Livingstone, London and New York, pp 31–37Google Scholar
  3. 3.
    Millesi H. (1973) Microsurgery of peripheral nerve. Hand 5:157–160PubMedCrossRefGoogle Scholar
  4. 4.
    Hakstian R.W. (1968) Funicular orientation by direct stimulation. An aid to peripheral nerve repair. J Bone Joint Surg 59A:1178–1186Google Scholar
  5. 5.
    Nakatsuehi Y., Matsui T., Honda Y. (1980) Funicular orientation by electrical stimulation and internal neurolysis in peripheral nerve suture. Hand 12:65–73CrossRefGoogle Scholar
  6. 6.
    Mackinnon S.E., Dellon A.L. (1988) Surgery of the peripheral nerve. Thieme Medical Publishers, New York, pp 89–129Google Scholar
  7. 7.
    Edsage S. (1964) Peripheral nerve suture. A technique for improved intraneural topography. Acta Chir Scand (Suppl) 331:1–104Google Scholar
  8. 8.
    Snyder C.C. (1981) Epineurial repair. Orthop Clin North Am 12:267–276PubMedGoogle Scholar
  9. 9.
    Bora F.W. (1967) Peripheral nerve repair in cats. The fascicular stitch. J Bone Joint Surg 49A:659–666Google Scholar
  10. 10.
    Kutz J.E., Sheealy G., Lubbers I. (1981) Interfaseicular nerve repair. Orthop Clin North Am 12:277–286PubMedGoogle Scholar
  11. 11.
    Pham H.N., Padilla J.A., Nguyen K.D., Rosen J.M. (1991) Comparison of nerve repair techniques: suture vs avitenepolyglyeonic acid tube. J Reconstr Surg 7:31–36Google Scholar
  12. 12.
    Stanec S., Stanee Z. (1998) Reconstruction of upper extremity peripheral-nerve injuries with ePTFE conduits. J Reconstr Surg 14:227–237Google Scholar
  13. 13.
    Yamamoto K. (1974) A comparative analysis of the process of nerve regeneration following funicular and epineurial suture for peripheral nerve repair. Arch Jpn Chir 43:276–301Google Scholar
  14. 14.
    Lundborg G., Dahlin L., Danielson N., Hansson H.A., Johannesson A., Longo F.M., Valon S. (1982) Nerve regeneration across an extended gap: a neurobiological view of nerve repair and the possible involvement of neurotrophic factors. J Hand Surg 7A:580–587Google Scholar
  15. 15.
    Brushart T.M., Seiller W.A. (1987) Selective reinnervation of distal motor stumps by peripheral motor axons. Exp Neurol 97:289–300PubMedCrossRefGoogle Scholar
  16. 16.
    Ochi M. (1992) Experimental evidence of selective axonal regeneration in allogenic and iso genie Y-chamber. Exp Neurol 115:260–265PubMedCrossRefGoogle Scholar
  17. 17.
    Goto Y. (1967) Experimental study of autologous nerve graft using funicular suture technique. Arch Jpn Chir 36:478–484 (in Japanese)Google Scholar
  18. 18.
    Yamamoto K., Yanase Y., Hirotani H. (1977) New idea for peripheral nerve repair. J Jpn Orthop Assoc 51:928–930Google Scholar
  19. 19.
    Best T.J., Mackinnon S.E., Evans P.J., Hunter P., Midha R. (1999) Peripheral nerve revascularization: histomorphometric study of small-and large-caliber grafts. J Reconstr Microsurg 15:183–190PubMedCrossRefGoogle Scholar
  20. 20.
    Pho R.W.H., Lee Y.S., Rujiwetpongstorn U., Pang M. (1985) Histological studies of vascularized nerve graft and conventional nerve graft. J Hand Surg 10B:45–48Google Scholar
  21. 21.
    Shibata M., Tsai T.M., Firrel J., Breidenbach W.C. (1988) Experimental comparison of vascularized and nonvascularized nerve grafting. J Hand Surg 13A:358–365Google Scholar
  22. 22.
    McCulough C.J., Gagey O., Higginson D.W., Sondin B.M., Crow J.C., Sebille A. (1984) Axon regeneration and vascularization of nerve grafts: an experimental study. J Hand Surg 9B:323–327Google Scholar
  23. 23.
    Terris D.J., Cheng E.T., Utley D.S., Tarn D.M., Ho P.R., Verity A.N. (1999) Functional recovery following nerve injury and repair by silicone tubulization; comparison of lamininfibronectin, dialyzed plasma, collagen gel, and phosphate buffered solution. Aur Nas Laryn 26:117–122CrossRefGoogle Scholar

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© Springer Japan 2003

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  • Yoshiaki Yanase

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