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The relationship between structural features of peripheral nerves and suture methods for nerve repair
Author(s) -
Zhong ShiZhen,
Wang GuoYing,
He YunShao,
Sun Bo
Publication year - 1988
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920090304
Subject(s) - medicine , fibrous joint , nerve repair , epineurial repair , peripheral nervous system , anatomy , peripheral , lesion , microsurgery , epineurium , peripheral nerve , connective tissue , sensory system , surgery , neuroscience , central nervous system , pathology , biology , endocrinology
Based on techniques for identifying and distinguishing motor, sensory, and mixed fasciculi in peripheral nerves, the authors propose guidelines for selecting suture methods for nerve repair. When many mixed fasciculi are known to exist at the nerve lesion, epineurial repair is preferable; fascicular (perineurial) repair is more suitable when pure motor and sensory fasciculi are clearly recognized. Generally, epineurial repair is indicated for more proximal injuries, with fascicular repair most appropriate for more distal sites. A greater ratio of epineurial connective tissue to intrafascicular nervous tissue implies an inclination toward fascicular repair.