Comparative study of circumferential nerve suture using the operating microscope. Electrophysiological and histological control. 1976

P Ploncard

The aim of this work is to try to compare the results of different methods of circumferential small nerve suture according to the degree of magnification and type of microsurgical technique. Four techniques were studied in forty Wistar rats. 1. Microsurgical suture with the Set technique. Magnification 25, accurate suture. 2. Microsurgical suture with simple end to end approximation. Magnification 25, accurate suture. 3. Same technique, but delayed suture. 4. Suture with a simple end to end approximation. Magnification 4. Four stitches for reapproximation. After four months the sutured nerves have been studied both electrophysiologically and histologically. The results show clearly that the so-called set technique associated with an accurate circumferential suture with eight stitches under high magnification gives by far the best results, the regeneration rate of the nerve being higher than 80%. The results in groups 3 and 4 are definitely less good. The simple bringing together of both stumps under low magnification with only four stitches (group 4) gives the worst results with only 20% of regeneration.

UI MeSH Term Description Entries
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D009416 Nerve Regeneration Renewal or physiological repair of damaged nerve tissue. Nerve Tissue Regeneration,Nervous Tissue Regeneration,Neural Tissue Regeneration,Nerve Tissue Regenerations,Nervous Tissue Regenerations,Neural Tissue Regenerations,Regeneration, Nerve,Regeneration, Nerve Tissue,Regeneration, Nervous Tissue,Regeneration, Neural Tissue,Tissue Regeneration, Nerve,Tissue Regeneration, Nervous,Tissue Regeneration, Neural
D010525 Peripheral Nerves The nerves outside of the brain and spinal cord, including the autonomic, cranial, and spinal nerves. Peripheral nerves contain non-neuronal cells and connective tissue as well as axons. The connective tissue layers include, from the outside to the inside, the epineurium, the perineurium, and the endoneurium. Endoneurium,Epineurium,Perineurium,Endoneuriums,Epineuriums,Nerve, Peripheral,Nerves, Peripheral,Perineuriums,Peripheral Nerve
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013536 Suture Techniques Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES). Suture Technics,Suture Technic,Suture Technique,Technic, Suture,Technics, Suture,Technique, Suture,Techniques, Suture
D051381 Rats The common name for the genus Rattus. Rattus,Rats, Laboratory,Rats, Norway,Rattus norvegicus,Laboratory Rat,Laboratory Rats,Norway Rat,Norway Rats,Rat,Rat, Laboratory,Rat, Norway,norvegicus, Rattus

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