Abstract
This chapter provides a basic overview of primary vessel, nerve and tendon repair. All require adequate exposure using extensile incisions that avoid risk of flexion contracture (e.g. Bruner incision in the digits). Tourniquet control, hand table, accurate haemostasis and self-retaining retractors are of benefit.
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Avoid scars overlying anastomoses and provide good soft tissue envelope.
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Adequate debridement and prevention of infection is critical.
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Use well-padded dressings and protective splinting (tendon, 4–6 weeks; nerve, 3 weeks; vessel 2 weeks).
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Aim for controlled, early active mobilisation.
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© 2013 Springer-Verlag Berlin Heidelberg
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Quaba, O., Hart, A. (2013). A17 Repair of Vessels, Nerves and Tendons. In: Carachi, R., Agarwala, S., Bradnock, T.J., Lim Tan, H., Cascio, S. (eds) Basic Techniques in Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20641-2_17
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DOI: https://doi.org/10.1007/978-3-642-20641-2_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-20640-5
Online ISBN: 978-3-642-20641-2
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