[Surgical treatment of painful amputation neuromas with hyaluronic acid gel. Preliminary study of six patients].
Amputation neuroma is the consequence of a traumatic event that interrupt the anatomic structure of a nerve. After the lesion, the nerve begin an plerosis attempt. This condition determines hyposensitivity on its innervation area and a painful syndrome. The pattern's resolution is possible with the neuroma's tissue exeresis and the sinking of proximal stump into closer tissue. This operation reduces or eliminates axonal nerve's flux. The hyaluronic acid (Hyaloglide 0.8-1 ml) use is based on the necessity of proximal stump preservation from mechanical and thermic stimuli that are responsible of typical neuroma's symptoms. In this study we used hyaluronic acid on six painful amputation neuroma patterns on sensitive nerves of upper and lower extremities.
Monacelli
G
G
Neuromed - IRCCS Pozzilli, Isernia.
Spagnoli
A M
AM
Valesini
L
L
Rizzo
M I
MI
Pardi
M
M
Irace
S
S
D000276:Adjuvants, Immunologic / Q000627:therapeutic use*; D000328:Adult; D000672:Amputation Stumps / Q000601:surgery; D005121:Extremities / Q000294:innervation; D005260:Female; D005782:Gels; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009463:Neuroma / Q000150:complications / Q000188:drug therapy* / Q000601:surgery*; D010146:Pain / Q000209:etiology; D010524:Peripheral Nervous System Neoplasms / Q000150:complications / Q000188:drug therapy* / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome
D000276:Adjuvants, Immunologic; D005782:Gels; D006820:Hyaluronic Acid