Vein implantation for treatment of painful cutaneous neuromas. A preliminary report.
Based on the theory that recurrent neuroma formation can be prevented if the cut nerve end is implanted into the lumen of a vein, 14 patients have been treated by neuroma excision followed by proximal vein implantation over the last 5 years. Thirteen patients reported dramatic pain relief following surgery, and this was sustained in all but one case. Both failures were re-explored, when it was found that the nerve had pulled out of the vein, leading to recurrent neuroma formation. Both cases were revised successfully using the same technique. With a mean follow-up of 15 months, 11 patients remain symptom-free, whilst three have minor residual symptoms which are not severe enough to require further surgery.
Herbert
T J
TJ
St Luke's Hospital Hand Unit, Sydney, NSW, Australia.
Filan
S L
SL
D000328:Adult; D005260:Female; D006225:Hand / Q000294:innervation / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000295:instrumentation; D008875:Middle Aged; D009463:Neuroma / Q000473:pathology / Q000601:surgery*; D010525:Peripheral Nerves / Q000473:pathology / Q000601:surgery; D010524:Peripheral Nervous System Neoplasms / Q000473:pathology / Q000601:surgery*; D012867:Skin / Q000098:blood supply / Q000294:innervation*; D013536:Suture Techniques / Q000295:instrumentation; D016896:Treatment Outcome; D014680:Veins / Q000601:surgery*