Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[A microsurgical patient, a procedural dilemma].

S Luchian1, D Pieptu, M Copăceanu

  • 1Clinica de Chirurgie Plastică şi Reconstructivă, Universitatea de Medicina şi Farmacie Gr. T. Popa, Iaşi.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|April 11, 2000
PubMed
Summary

This case study highlights a complex forearm trauma requiring multiple microsurgeries. A two-stage ulnar nerve reconstruction yielded excellent functional recovery, suggesting a potential approach for significant nerve defects.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Epidemiology of hospitalized burns in Romania: A 10-year study on 92,333 patients.

Burns : journal of the International Society for Burn Injuries·2021
Same author

Choosing wisely in burn care.

Burns : journal of the International Society for Burn Injuries·2021
Same author

Lymph node ratio and surgical quality are strong prognostic factors of rectal cancer: results from a single referral centre.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2016
Same author

[Peculiarities of the surgical treatment of thyrotoxicosis in the aged].

Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi·2014
Same author

Sulfadiazine modified CS/HA PEC destined to wound dressing.

Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi·2013
Same author

Chitosan/hyaluronic acid polyelectrolyte complex hydrogels in the management of burn wounds.

Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi·2013

Area of Science:

  • Reconstructive Microsurgery
  • Peripheral Nerve Repair
  • Trauma Surgery

Background:

  • Complex limb trauma presents significant reconstructive challenges.
  • Microsurgery is crucial for restoring vascular and neural integrity.
  • Forearm trauma involving extensive soft tissue and neurovascular damage requires staged interventions.

Observation:

  • A patient with severe left forearm trauma underwent five operations, including debridement, vessel ligation, nerve repair, and skin grafting.
  • A significant defect in the ulnar nerve necessitated a unique two-stage reconstruction using sural nerve grafts.
  • Initial skin grafting was followed by a free flap and delayed nerve reconstruction.

Findings:

  • The two-stage ulnar nerve reconstruction achieved a very good functional and clinical outcome after one year, confirmed by electromyography.

Related Experiment Videos

  • The parascapular free flap provided durable soft tissue coverage.
  • The overall treatment strategy successfully addressed extensive damage to muscles, vessels, and nerves.

    • Implications:

    • This case suggests that a staged approach to nerve grafting, similar to facial nerve reconstruction, may be beneficial for extensive nerve defects.
    • The findings support the efficacy of microsurgical techniques in managing severe peripheral nerve injuries.
    • Further research into staged nerve reconstruction could optimize outcomes for complex trauma patients.