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Title Modern concepts of peripheral nerve repair / Kirsten Haastert-Talini, Hans Assmus, Gregor Antoniadis, editors
Published Cham, Switzerland : Springer, [2017]
©2017

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Description 1 online resource
Contents 880-01 Preface; Contents; 1: The Peripheral Nerve: Neuroanatomical Principles Before and After Injury; 1.1 Anatomy of the Peripheral Nerve; 1.2 Classification of the Nerve Injuries; 1.3 Neuroanatomical Situation After Injury: Nerve Degeneration; 1.4 Nerve Regeneration; References; 2: State-of-the-Art Diagnosis of Peripheral Nerve Trauma: Clinical Examination, Electrodiagnostic, and Imaging; 2.1 Introduction; 2.2 History Taking and Physical Examination; 2.3 Electrodiagnostic Procedures; 2.4 Imaging; 2.4.1 High-Resolution Ultrasound; 2.4.2 MRI; 2.4.2.1 Background and Overview
880-01/(S 7.4.1 Biological Nerve Conduits7.4.2 Synthetic Nerve Conduits; 7.4.3 Technique of Tubulization (Fig. 7.4); 7.5 Polyesters for Nerve Conduit Fabrication; 7.5.1 PGA; 7.5.2 PLA; 7.5.3 PLLA; 7.5.4 PLGA; 7.5.5 PCL; 7.5.6 Poly(D, L-lactide-co-ε-caprolactone); 7.6 Proteins with Synthetic Biomaterials; 7.6.1 Nondegradable Nerve Conduits: Silicone, Plastic, and Polytetrafluoroethylene Tubes; 7.6.2 Degradable Nerve Conduits; 7.7 Conclusions and Recommendations; References; 8: Clinical Follow-Up; 8.1 Sensorimotor Evaluations; 8.2 Pain Evaluation; 8.3 Global Scales
2.4.2.2 Technical Requirements2.4.2.3 MRN Findings in Nerve Injury; 2.4.2.4 MRN Findings in Denervated Muscle; References; 3: Timing and Decision-Making in Peripheral Nerve Trauma; 3.1 Introduction; 3.2 The Decision Process; 3.3 Preoperative Decisions and Therapeutic Options (Indication); 3.4 Intraoperative Decisions; 3.5 Indication in Case of Partial Lesions and Neuroma Formation; 3.6 Decisions in or Concerning Combined Lesions; 3.7 Perioperative Techniques: Choice of Anesthesia and Application of Tourniquet; 3.8 Postoperative Decisions and Revision Surgery
3.9 Prevention of Nerve Injuries and Future AspectsReferences; 4: Conventional Strategies for Nerve Repair; 4.1 Neurolysis; 4.1.1 External Neurolysis; 4.1.2 Internal Neurolysis; 4.2 End-to-End Neurorrhaphy; 4.3 End-to-Side Neurorrhaphy; 4.4 Graft Repair; 4.5 Direct Muscular Neurotization; 4.6 Fibrin Glue Versus Suture; 4.7 Factors Influencing the Results of Surgical Repair; References; 5: Surgical Techniques in the Lesions of Peripheral Nerves; 5.1 Introduction; 5.2 Technology of Illumination and Optics; 5.2.1 The Operating Microscope; 5.2.2 The Retractor-Integrated Endoscope
5.2.3 The Video Telescope Operating Microscopy (ViTOM) or the Exoscope5.3 Techniques in Nerve Coaptation; 5.4 Techniques in Intraoperative Diagnostics; References; 6: Specific Challenges in Brachial Plexus Surgery; 6.1 Introduction; 6.2 Challenges in the Preoperative Evaluation; 6.3 Challenges in Intraoperative Decision-Making; 6.4 Challenges in Postoperative Evaluation; References; 7: Alternative Strategies for Nerve Reconstruction; 7.1 Introduction; 7.2 Peripheral Nerve Grafts; 7.3 Allogeneic Decellularized Nerve Transplantation; 7.4 Nerve Conduits
Summary "This book focuses on posttraumatic repair and reconstruction of peripheral nerves. Written by internationally respected specialists, it provides an overview of the challenges and the latest advances in diagnosis and treatment of traumatic peripheral nerve injuries. It presents an outline of state-of the-art procedures from diagnostics, including newest imaging techniques, over conventional and alternative surgical approaches to clinical follow-up and rehabilitation, including the latest concepts to improve functional recovery. The purely clinical topics are preceded by neuroanatomical principles and neurobiological events related to peripheral nerve transection injuries and followed by an outlook on current experimental developments in the area of biomaterials for artificial nerve grafts and peripheral nerve tissue engineering. Peripheral nerve injuries not only affect the nerve tissue at the site of injury, but also target tissue and parts of the central nervous system. They often have dramatic consequences for patients, including loss of sensory and motor functions combined with paresthesia or pain, and a reduced quality of life and ability to work. An adequate understanding of the procedures for proper decision-making and reconstructing peripheral nerves is therefore essential to ensure optimized functional recovery."-- Provided by publisher
Bibliography Includes bibliographical references and index
Notes Online resource; title from PDF title page (EBSCO, viewed June 26, 2017)
Subject Nerves, Peripheral -- Regeneration
Nerves, Peripheral -- Growth
Nerves, Peripheral -- Transplantation
Nerves, Peripheral -- Surgery.
Peripheral Nerves -- surgery
Peripheral Nerves -- transplantation
Peripheral Nerves -- growth & development
MEDICAL -- Physiology.
SCIENCE -- Life Sciences -- Human Anatomy & Physiology.
Nerves, Peripheral -- Regeneration
Nerves, Peripheral -- Surgery
Form Electronic book
Author Haastert-Talini, Kirsten, editor
Assmus, Hans, editor
Antoniadis, Gregor, editor
ISBN 9783319523194
3319523198