FIELD: medicine.
SUBSTANCE: central and peripheral nerve ends are vivified until observing normal fascicles; an epineural flap is formed; a subepineural suture of the central and peripheral nerve ends is formed, and the epineural flap is fixed. The central nerve end is vivified at the level of the greatest diameter of a regeneration neuroma around the circumference of the neuroma. An epineurium is mobilised; a circular epineural flap is formed and displaced in the proximal direction. Thereafter, the central nerve end is vivified until observing normal fascicles; the subepineural suture of the central and peripheral nerve ends is formed by aligning the ends circumferentially; the flap is turned out, and the circular epineural flap is fixed overlapping the epineurium of the peripheral nerve end.
EFFECT: method enables reducing postoperative complications in the form of regeneration neuroma formation and cicatrical process development that is ensured by the complete alignment of the nerve ends.
3 dwg, 1 ex
| Title | Year | Author | Number |
|---|---|---|---|
| METHOD FOR SUTURING NERVE ENDS | 1997 |
|
RU2150895C1 |
| METHOD OF TREATMENT FOR DEFECT OF PERIPHERAL NERVE | 0 |
|
SU1806629A1 |
| METHOD OF TREATING PERIPHERAL NERVE OLD DAMAGE | 0 |
|
SU1806625A1 |
| METHOD FOR POSTTRAUMATIC REPAIR OF INJURED PERIPHERAL NERVE | 2012 |
|
RU2515761C1 |
| METHOD FOR PERFORMING AUTONEUROPLASTIC OPERATIONS | 1998 |
|
RU2153295C2 |
| INTRAOPERATIVE METHOD FOR DIAGNOSING NERVE INJURIES CASES | 2005 |
|
RU2305486C1 |
| METHOD FOR SUBSTITUTING CICATRICIALLY TRANSFORMED PERIPHERAL NERVE EPINEURIUM IN ITS LOCAL COMPRESSION AND ISCHEMIA CASES | 2003 |
|
RU2241385C1 |
| METHOD OF TREATING DAMAGED PERIPHERAL NERVE | 1990 |
|
RU2028088C1 |
| RECONSTRUCTIVE AND RECOVERING METHOD FOR TREATING THE CONSEQUENCES OF ULNAR NEUROVASCULAR FASCICLE INJURY | 2001 |
|
RU2214171C2 |
| METHOD FOR TREATMENT OF PERIPHERAL NERVE DAMAGE | 2008 |
|
RU2347539C1 |
