title: [New possibilities to increase the results of posttraumatic nerve regeneration with sympathectomy].
abstract: OBJECTIVE
  To study the influence of sympathectomy on nerve regeneration in human extremities.
  
  
  METHODS
  Autoneuroplasty was performed in 86 patients with posttraumatic defects of median and ulnar nerves: in 42 cases in combination with sympathectomy (thoracoscopic clipping of Th3-4 sympathetic ganglions) and in 44 cases without sympathectomy. Computer thermography, laser Doppler flowmetry with spectral wavelet-analysis of blood flow oscillations, ultrasonography of nerve trunks and stimulation electroneuromyography were used.
  
  
  CONCLUSIONS
  Induced sympathectomy was for the first time shown to have a positive activating influence on the restoration of innervation and tissue trophics in the course of posttraumatic nerve regeneration. The combination of autoneuroplasty with induced sympathectomy contributes to a more complete restoration of motor and sensory nerve fibers, helps to normalize the blood flow in the microvascular bed and thermal topography of the damaged segment of the extremity and support the trophotropic direction of tissue control including the previously denervated area.
authors.affiliation: Priorov Central Institute of Traumatology and Orthopedy, Moscow.
authors.forename: M V
authors.initials: MV
authors.lastname: Merculov
authors.affiliation: Priorov Central Institute of Traumatology and Orthopedy, Moscow.
authors.forename: I O
authors.initials: IO
authors.lastname: Golubev
authors.affiliation: Priorov Central Institute of Traumatology and Orthopedy, Moscow.
authors.forename: A I
authors.initials: AI
authors.lastname: Krupatkin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001132:Arm / Q000098:blood supply / Q000294:innervation / Q000502:physiology; D005260:Female; D006801:Humans; D017078:Laser-Doppler Flowmetry; D008297:Male; D008475:Median Nerve / Q000293:injuries* / Q000502:physiology / Q000601:surgery*; D008875:Middle Aged; D009043:Motor Activity; D009412:Nerve Fibers / Q000502:physiology; D009416:Nerve Regeneration; D013562:Sympathectomy / Q000379:methods*; D014459:Ulnar Nerve / Q000293:injuries* / Q000502:physiology / Q000601:surgery*; D058067:Wavelet Analysis; D055815:Young Adult