Abstract:
Sural nerve is the most common nerve used as a source for nerve grafting. Open harvest with longitudinal incisions produces unsightly scars, and this have led to development of less invasive techniques using endoscopes, nerve stripper, and mini-incisions. Several anatomical classifications have also been proposed due to the variations in the anatomy of the sural nerve. A simple and practical surgicoanatomical classification of the sural nerve based on which we have refined our minimal access technique, the multiple mini-incision technique for sural nerve harvest is proposed. In this technique, the incisions required for harvest of the sural nerve are standardized and predictable. A fibular incision is required when the sural nerve has major contribution from the common peroneal nerve. We have found this a simpler and reliable technique of harvest of sural nerve in nerve reconstructive surgery.
摘要:
腓肠神经是用作神经移植源的最常见的神经。带有纵向切口的开放式收获会产生难看的疤痕,这导致了使用内窥镜的侵入性较小的技术的发展,神经剥离器,和迷你切口。由于腓肠神经的解剖结构的变化,还提出了几种解剖分类。腓肠神经的简单实用的外科解剖分类,在此基础上,我们改进了最小的通路技术,提出了多小切口腓肠神经采集技术。在这项技术中,收集腓肠神经所需的切口是标准化和可预测的。当腓肠神经主要来自腓总神经时,需要腓骨切口。我们发现这是一种在神经重建手术中获取腓肠神经的更简单可靠的技术。