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Critical resection length and gap distance in peripheral nerves

Experimental and morphological studies

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  • 91pages
  • 4 heures de lecture

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The Second World War resulted in an unprecedented number of peripheral nerve injuries, prompting renewed research in neurosurgery. Advances in surgical techniques, particularly with the use of operating microscopes, have significantly contributed to this field. However, the context of wartime surgery differs greatly from peacetime practices. Rapid wound healing allows for secondary sutures to be performed around four weeks post-injury. In most cases, the extent of nerve damage is less severe than in wartime injuries, where the "critical resection length" (Seddon) posed significant challenges to successful outcomes. Surgeons during the war recognized that the specified dimensions for critical resection were often too large, leading them to attempt sutures even with considerable gaps between nerve ends. There was also a lack of precise information regarding direct damage to the axis cylinder or changes due to vascular factors when stretching nerves, especially during joint decompression mobilization. The author's experimental investigations may provide valuable insights into these issues. The meticulously executed and analyzed experiments are likely relevant to human conditions concerning total nerve length percentages.

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Critical resection length and gap distance in peripheral nerves, Gerhard Orf

Langue
Année de publication
1978
Reliure
(rigide)
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Titre
Critical resection length and gap distance in peripheral nerves
Sous-titre
Experimental and morphological studies
Langue
Anglais
Publié
1978
Format
rigide
Pages
91
ISBN10
0387814825
ISBN13
9780387814827
Séries
Mots clés
Description
The Second World War resulted in an unprecedented number of peripheral nerve injuries, prompting renewed research in neurosurgery. Advances in surgical techniques, particularly with the use of operating microscopes, have significantly contributed to this field. However, the context of wartime surgery differs greatly from peacetime practices. Rapid wound healing allows for secondary sutures to be performed around four weeks post-injury. In most cases, the extent of nerve damage is less severe than in wartime injuries, where the "critical resection length" (Seddon) posed significant challenges to successful outcomes. Surgeons during the war recognized that the specified dimensions for critical resection were often too large, leading them to attempt sutures even with considerable gaps between nerve ends. There was also a lack of precise information regarding direct damage to the axis cylinder or changes due to vascular factors when stretching nerves, especially during joint decompression mobilization. The author's experimental investigations may provide valuable insights into these issues. The meticulously executed and analyzed experiments are likely relevant to human conditions concerning total nerve length percentages.