Hakan ÇİNAL
(Atatürk Üniversitesi, Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Erzurum, Türkiye)
Ensar Zafer BARİN
(Atatürk Üniversitesi, Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Erzurum, Türkiye)
Murat KARA
(Atatürk Üniversitesi, Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Erzurum, Türkiye)
Harun KARADUMAN
(Atatürk Üniversitesi, Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Erzurum, Türkiye)
İhtişam Zafer CENGİZ
(Atatürk Üniversitesi, Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Erzurum, Türkiye)
Önder TAN
(Gaziosmanpaşa Medical Park Hastanesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, İstanbul, Türkiye)
ELİF DEMİRCİ
(Atatürk Üniversitesi, Tıp Fakültesi, Patoloji Bölümü, Erzurum, Türkiye)
Yıl: 2020Cilt: 52Sayı: 1ISSN: 1308-8734 / 1308-8742Sayfa Aralığı: 12 - 15İngilizce

21 0
A New Method to Harvest the Sural Nerve Graft
Objective: In this study, we developed a novel technique to harvest the sural nerve using the mini incisions and the carpal tunnel dilators. Materials and Methods: The technique was applied to the 29 sides on 27 patients (24 men and 3 women). The mean age was 27.1 years (range 9-51). The diagnoses were soft tissue traumas in 23 cases, fracture in 2 cases, and previous complicated operation in 2 cases. The harmful effects of harvest procedure on the sural nerve graft were assessed double-blind histopathologically and compared with control group. Results: All the nerve grafts were successfully harvested with no macroscopic damage to the sural nerve graft. There was no statistically significant difference between the histopathologic scores of the distal and proximal nerve segments (p>0.05). The average follow-up time was 17 months (range 8-46). In the postoperative period, no complication such as massive bleeding/hematoma, wound infection, skin necrosis, painful neuroma formation, or prolonged calf tenderness was observed. In all cases, there were inconspicuous scars. Conclusion: The method seems safe and has no damage on the nerve graft histopathologically. We believe that this technique may be used in future.
DergiAraştırma MakalesiErişime Açık
  • 1. Park HD, Kwak HH, Hu KS, et al. Topographic and histologic characteristics of the sural nerve for use in nerve grafting. J Craniofac Surg 2007; 18: 1434-8. [CrossRef]
  • 2. Riedl O, Koemuercue F, Marker M, et al. Sural nerve harvesting beyond the popliteal region allows a significant gain of donor nerve graft length. Plast Reconstr Surg 2008; 122: 798-805. [CrossRef]
  • 3. de Moura W, Gilbert A. Surgical anatomy of the sural nerve. J Reconstr Microsurg 1984; 1: 31-9. [CrossRef]
  • 4. Coert JH, Dellon AL. Clinical implications of the surgical anatomy of the sural nerve. Plast Reconstr Surg 1994; 94: 850-5. [CrossRef]
  • 5. Hankin FM, Jaeger SH, Beddings A. Autogenous sural nerve grafts: a harvesting technique. Orthopedics 1985; 8: 1160-1.
  • 6. Lin CH, Mardini S, Levin SL, et al. Endoscopically assisted sural nerve harvest for upper extremity posttraumatic nerve defects: an evaluation of functional outcomes. Plast Reconstr Surg 2007; 119: 616-26. [CrossRef]
  • 7. Kim ED, Seo JT. Minimally invasive technique for sural nerve harvesting: technical description and follow-up. Urology 2001; 57: 921-4. [CrossRef]
  • 8. Hassanpour E, Yavari M, Karbalaeikhani A, et al. Nerve stripper-assisted sural nerve harvest. J Neurol Surg A Cent Eur Neurosurg 2014; 75: 161-4. [CrossRef]
  • 9. Jaroszynski G, Johnston GH. Harvesting of the sural nerve with a tendon stripper. Microsurgery 1996; 17: 217-20.
  • 10. Wessberg GA. Atraumatic harvesting of the sural nerve. J Oral Maxillofac Surg 1985; 43: 237. [CrossRef]
  • 11. Spinks TJ, Adelson PD. Pediatric sural nerve harvest: a fully endoscopic technique. Neurosurgery 2009; 64: 360-3; discussion 363-4. [CrossRef]
  • 12. Capek L, Clarke HM. Endoscopically assisted sural nerve harvest in infants. Semin Plast Surg 2008; 22: 25-8. [CrossRef]
  • 13. Capek L, Clarke HM, Zuker RM. Endoscopic sural nerve harvest in the pediatric patient. Plast Reconstr Surg 1996; 98: 884-8. [CrossRef]
  • 14. Koh KS, Park S. Endoscopic harvest of sural nerve graft with balloon dissection. Plast Reconstr Surg 1998; 101: 810-12. [CrossRef]

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