[Comparative experimental study of microsurgical nerve suture. I. Immediate suture and delayed suture].
Impressed by multiplicity of theories and conceptions concerning nerve surgery and by the difficulty to draw grouded conclusions from the different and contradictory work available from the litterature on the subject, the author makes a revision of the biology of the nerve, to be used as a point of departure for investigation. Based on the fact that protheosynthesis capacity of the nerve cell is known to be at its top value during the first week after the lesion of the nerve, the author endeavours to compare immediate suture with delayed suture. This comparative study is based both on electrophysiological and histological data and show clearly enough the real advantage of trying nerve reconstruction as early as possible, to avoid progression of devitalisation and invasion by fibrosis of both stumps. The surgical procedures are made with the help of the operating microscope and the same technique is used in both groups.
D000818:Animals; D005071:Evoked Potentials; D008866:Microsurgery / Q000379:methods*; D009416:Nerve Regeneration; D009431:Neural Conduction; D010525:Peripheral Nerves / Q000601:surgery*; D011183:Postoperative Complications; D051381:Rats; D012584:Sciatic Nerve / Q000503:physiopathology / Q000601:surgery; D013536:Suture Techniques; D013997:Time Factors
Etude comparative expérimentale de suture nerveuse microchirurgicale. I - Suture immédiate et suture retardée