[Post-gunshot wound lesions of the peripheral nerves which may be prevented with adequate primary surgical wound care].
The retrospective study includes 24 wounded persons with iatrogenic peripheral nerve lesion and 94 wounded whose neural damage occurred due to peripheral nerve engagement in scar tissue after main artery reconstruction, missile bone fracture or after soft tissues defects covering by Tiersch transplants. The authors analyzed frequency and localization of these lesions, intraoperative findings, applied operative procedures and clinical findings during preoperative follow-up. It is recommended to create the new bad for exposed peripheral nerve from adjacent muscles as part of primary surgical wound treatment. This procedure eliminates the risk of subsequent epineural scar formation in all situations that have been described (soft tissue defects, artery reconstruction and bone fracture) and makes the later operations on peripheral nerves unnecessary.
Roganović
Z
Z
Vojnomedicinska akademija, Klinika za neurohirurgiju, Klinika za neurologiju-Odeljenje za neurofiziologiju, Beograd.
Antić
B
B
Petković
S
S
Tadić
R
R
Savić
M
M
D002921:Cicatrix / Q000209:etiology; D005121:Extremities / Q000293:injuries* / Q000294:innervation; D006801:Humans; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D011183:Postoperative Complications; D012189:Retrospective Studies; D000267:Tissue Adhesions; D014857:Warfare; D014948:Wounds, Gunshot / Q000150:complications / Q000601:surgery*
Postsklopetarne lezije perifernih nerava koje se mogu prevenirati adekvatnom primarnom hirurskom obradom rane.