[Microsurgical fascicular neurorrhaphy. Our method].
The author holds the microsurgical fascicular neurorrhaphy superior to the classical epineural suture. Microsurgical technique is more time-consuming and requires greater experience, moreover the application of autologous nerve grafts is often necessary. In secondary reconstructive operations of peripheral nerves a strong epineurium was found and in cases of small defects a surgical procedure was devised which permitted immediate microsurgical nerve suture without autologous nerve grafts. By isolating the epineurium it was possible to suture it initially on one side of the nerve, giving relaxation of the fascicle groups for direct repair.
D006801:Humans; D008866:Microsurgery / Q000379:methods*; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000601:surgery*; D013536:Suture Techniques
Mikrochirurgische faszikuläre Nervennaht. Eigene Methode.