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The preparation of divided nerve ends
1Department of Reconstructive Plastic Surgery, Frenchay Hospital, Bristol.
British Journal of Plastic Surgery
|March 1, 1990
Summary
Trimming divided peripheral nerves is challenging due to fascicle "mushrooming." A novel technique using fibrin glue stabilizes nerve ends, enabling atraumatic trimming for better surgical outcomes.
Area of Science:
- Nerve surgery
- Regenerative medicine
- Biomaterials
Background:
- Divided peripheral nerves often exhibit fascicular "mushrooming," complicating surgical repair.
- Achieving atraumatic nerve trimming is difficult due to the soft, unstable nature of nerve tissue, often likened to "soggy spaghetti".
Purpose of the Study:
- To describe a novel technique for stabilizing divided peripheral nerve fascicles.
- To facilitate atraumatic and satisfactory trimming of peripheral nerves during surgical procedures.
Main Methods:
- A technique involving the application of fibrin glue to stabilize the cut end of peripheral nerve fascicles is described.
- This method aims to provide a scaffold that prevents fascicular dispersion during trimming.
Main Results:
- The described technique effectively stabilizes the cut nerve fascicles.
- This stabilization allows for precise and atraumatic trimming, overcoming the "soggy spaghetti" challenge.
Conclusions:
- Fibrin glue offers a viable solution for stabilizing peripheral nerve ends.
- This technique improves the ability to perform satisfactory nerve trimming in reconstructive surgery.