title: [Secondary surgery for restoration of nerve function (author's transl)].
abstract: The technique of nerve-suturing belongs in modern times to the domain of microsurgery. Without implementing the posibilities offered by microsurgery, nerve-suturing - even directly end-to-end - is obsolete. In order to obtain a sufficient functional end-result, suturing under tension must be avoided at all costs. Knowledge of this has given rise to the common interposition nerve grafts. Even with interposition grafts, no cases of growth-disturbances, including a failure of the nerve to grow or disturbances in function because of growth, have been observed in children. For a good post-op. results, a continual therapy with neurotropic medicaments, physiotherapy and faradisation, and neurophysiological checks on progress made in renervation are absolutely essential.
mesh_terms: D002648:Child; D002675:Child, Preschool; D006225:Hand / Q000294:innervation*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008866:Microsurgery; D009416:Nerve Regeneration; D009463:Neuroma / Q000601:surgery; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000601:surgery*; D010524:Peripheral Nervous System Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000628:therapy; D013536:Suture Techniques
vernacular_title: Die Technik der sekundären Nervenwiederherstellung.