Hakan Cinal 1 , Ensar Zafer Barin 1 , Murat Kara 1 , Harun Karaduman 1 , Ihtisam Zafer Cengiz 1 , Onder Tan 2 , Elif Demirci 3 Show Affiliations »
Abstract
OBJECTIVE: In this study, we developed a novel technique to harvest the sural nerve using the mini incisions and the carpal tunnel dilators. MATERIALS AND METHODS: The technique was applied to the 29 sides on 27 patients (24 men and 3 women). The mean age was 27.1 years (range 9-51). The diagnoses were soft tissue traumas in 23 cases, fracture in 2 cases, and previous complicated operation in 2 cases. The harmful effects of harvest procedure on the sural nerve graft were assessed double-blind histopathologically and compared with control group. RESULTS: All the nerve grafts were successfully harvested with no macroscopic damage to the sural nerve graft. There was no statistically significant difference between the histopathologic scores of the distal and proximal nerve segments (p>0.05). The average follow-up time was 17 months (range 8-46). In the postoperative period, no complication such as massive bleeding/hematoma, wound infection, skin necrosis, painful neuroma formation, or prolonged calf tenderness was observed. In all cases, there were inconspicuous scars. CONCLUSION: The method seems safe and has no damage on the nerve graft histopathologically. We believe that this technique may be used in future. ©Copyright 2020 by the Atatürk University School of Medicine - Available online at www.eurasianjmed.com.
OBJECTIVE: In this study, we developed a novel technique to harvest the sural nerve using the mini incisions and the carpal tunnel dilators. MATERIALS AND METHODS: The technique was applied to the 29 sides on 27 patients (24 men and 3 women). The mean age was 27.1 years (range 9-51). The diagnoses were soft tissue traumas in 23 cases, fracture in 2 cases, and previous complicated operation in 2 cases. The harmful effects of harvest procedure on the sural nerve graft were assessed double-blind histopathologically and compared with control group. RESULTS: All the nerve grafts were successfully harvested with no macroscopic damage to the sural nerve graft. There was no statistically significant difference between the histopathologic scores of the distal and proximal nerve segments (p>0.05). The average follow-up time was 17 months (range 8-46). In the postoperative period, no complication such as massive bleeding/hematoma, wound infection, skin necrosis, painful neuroma formation, or prolonged calf tenderness was observed. In all cases, there were inconspicuous scars. CONCLUSION: The method seems safe and has no damage on the nerve graft histopathologically. We believe that this technique may be used in future. ©Copyright 2020 by the Atatürk University School of Medicine - Available online at www.eurasianjmed.com.
Entities: Chemical
Keywords:
carpal tunnel dilatator; harvest; nerve; sural
Year: 2020
PMID： 32158306 PMCID： PMC7051230 DOI： 10.5152/eurasianjmed.2019.19102
Source DB: PubMed Journal: Eurasian J Med ISSN： 1308-8734