Abstract
The neurorrhaphy is indicated in the fourth or higher degree of nerve injury according to Mackinnon’s classification. In epineural technique, the operator bites through external epineurium and removes the needle from internal epineurium. In contrast to the epineural suturing, the perineural and epiperineural techniques allow precise match of each fascicle. These techniques are performed in nerves, containing both afferent and efferent fascicles. The end-to-side neurorrhaphy is used in brachial plexus and facial nerve lesions, for prevention of pathologic neuromas. The key mechanism of end-to-side neurorrhaphy is a phenomenon called axonal sprouting.
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Khachatryan, A., Tevosyan, A., Novoselskiy, D., Arakelyan, G., Yushkevich, A., Nazaretovich Nazarian, D. (2021). Microsurgical Suture Technique: Nerve Coaptation. In: Microsurgery Manual for Medical Students and Residents. Springer, Cham. https://doi.org/10.1007/978-3-030-73531-9_6
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DOI: https://doi.org/10.1007/978-3-030-73531-9_6
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