Abstract

SOCOLOVSKY, Mariano; DI MASI, Gilda  and  CAMPERO, Alvaro. Conceptos actuales en la cirugía de los nervios periféricos: Parte III: ¿cuándo se debe operar un nervio lesionado?. Rev. argent. neurocir. [online]. 2007, vol.21, n.2. ISSN 1850-1532.

Objective: In Peripheral nerve lesions, one of the most critical factors regarding the final functional outcome is surgical timing. The purpose of the present work is to determine actual indications of peripheral nerve trauma exploration and repair. Selected articles: Are quoted in the references Obtained data: Peripheral nerve lesions clasification and physiopathology are throughoutly analysed. Two groups of injuries were established: open and closed peripheral nerve trauma. In the latter, conservative inicial management and surgery after three or more months is the rule. Meanwhile, open lesions must be acutely explorated and repared of the nerve gap when a direct suture is posible. If not, reparation of the nerve endings and claning of the injury site should be done. Exceptions to this principles are mentioned. Conclusions: Timing of exploration and repair of peripheral nerve injuries are based on a few notions on clasification and physiopathology of nerve trauma.

Keywords : Peripheral nerve; Neurological trauma; Microsurgery; Surgical timing.

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