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How to do an outside-in/outside-in microsuture for nerve repair
Praveen Bhardwaj1, Brahman Shankar Sivakumar2,3, Hari Venkataramani1
1Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Coimbatore, India.
ANZ Journal of Surgery
|December 18, 2023
Abstract:
Peripheral nerve injuries are common and debilitating. The goals of nerve repair are to accurately approximate the fascicular tissue, whilst ensuring continuous overlying epineurium and eliminating external sprouting of neural tissue. We describe a modification of standard micro-suturing which allows superior epineural eversion and fascicular coaptation.

