What is the current Dutch nerve management during amputation surgery?

Area of Science:

• Surgical techniques
• Neurosurgery
• Amputation management

Background:

• Neuromas frequently develop after nerve transection during limb amputation.
• Painful neuromas can significantly impair a patient's quality of life.
• Effective nerve management during surgery is vital to prevent neuroma formation.

Purpose of the Study:

• To investigate the knowledge and preferred techniques of Dutch plastic surgeons in managing peripheral nerves during amputation.
• To understand current practices in neuroma treatment among these surgeons.

Main Methods:

• An anonymous email survey was distributed to Dutch (plastic) surgeons.
• The questionnaire covered background knowledge, preferred nerve management approaches, and neuroma treatments.
• Data were analyzed using descriptive statistics.

Main Results:

• The study surveyed 72 surgeons (18.5% response rate), predominantly plastic surgeons specializing in hand and wrist surgery.
• Muscle burying was the most familiar technique, followed by bone burying, end-to-side suturing, and targeted muscle reinnervation.
• Surgeons with less experience favored traction neurectomy. Most respondents addressed postoperative nerve pain or considered revision surgery.

Conclusions:

• Dutch surgeons possess widespread awareness of various nerve management and neuroma treatment techniques.
• Enhanced training and procedural competence are essential for optimal patient outcomes in amputation surgery.
• Further research into technique efficacy and impact on neuroma development is warranted.