[Results of 466 nerve decompressions in 123 leprosy patients during polychemotherapy with a minimum follow-up of one year. Value of preventive surgery in a leprosy control program].
The clinical expression of leprosy is primarily cutaneous but its serious neurologic manifestations are maiming. Mutilations mainly of limb ends are due to peripheric nerves compression and may appear before or during the clinical treatment of the illness. Their appearance which is not automatically related to multiple Hansen's bacilli, may be prevented surgically by nervous decompression. The authors report their experiences of 466 nervous decompressions of 123 patients (89 men and 34 women), among them, 14 were pauci-bacillary and 109 multi-bacillary. They conclude that very good results (complete recovery or improvement of sensitivity, disappearing of pain) have been obtained through simple and easy-to-learn surgeries.
Ramarorazana
S
S
Hôpital de Farafangana.
Di Schino
M
M
Rene
J P
JP
Schwarz
L E
LE
D000293:Adolescent; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007917:Leprostatic Agents / Q000627:therapeutic use*; D007918:Leprosy / Q000150:complications* / Q000188:drug therapy; D008297:Male; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery*; D010525:Peripheral Nerves; D012189:Retrospective Studies; D016896:Treatment Outcome
D007917:Leprostatic Agents
Résultats de 466 décompressions nerveuses chez 123 lépreux en cours de polychimiothérapie avec un recul minimum de un an. Intérêt de la chirurgie préventive dans un programme de lutte contre la lèpre.