[Microsurgical reconstructive-rehabilitative operations in traumatic lesions of the peripheral nerves]

Microsurgical reconstructive-restorative operations were conducted on the peripheral nerves of the limbs in 381 patients at the Kazakh centre of microsurgery from 1983. The patients were divided into 3 groups: group 1-60 patients who underwent emergency neurography during replantation of limbs and their segments; group 2-186 patients in whom neurovascular bundles of the limbs were restored (320 nerves were restored) in the late period after the trauma; group 3-135 patients who were subjected to operative interventions on the brachial plexus and the adjacent vessels. In sequelae of injury to the neurovascular bundles of the limbs and the trunks of the brachial plexus one-stage operations must be carried out on the peripheral nerves and the accompanying vessels. The result of the operation is determined by the lapse of time from the moment of the injury, the type of reconstruction, and the length of the graft used.