The introduction of the operating microscope as a surgical tool revolutionized the treatment of peripheral nerve lesions. A new era thus began in the early 1960s, which led to a substantial improvement in the management of nerve lesions. The results of nerve grafting techniques have demonstrated that, independent of the length of the defect, lesions can be successfully bridged. The free tissue transplants with microvascular anastomosis have also opened new, rewarding possibilities for peripheral nerve reconstruction procedures, facilitating the achievement not only of satisfactory anatomical…mehr
The introduction of the operating microscope as a surgical tool revolutionized the treatment of peripheral nerve lesions. A new era thus began in the early 1960s, which led to a substantial improvement in the management of nerve lesions. The results of nerve grafting techniques have demonstrated that, independent of the length of the defect, lesions can be successfully bridged. The free tissue transplants with microvascular anastomosis have also opened new, rewarding possibilities for peripheral nerve reconstruction procedures, facilitating the achievement not only of satisfactory anatomical but also of satisfactory fUhctional results. In order to evaluate the state of the art and reflect retrospectively on 25 years of microneurosurgical treatment of peripheral nerves, numerous outstanding scientists and clinicosurgical physicians were invited to Hanover in order to exchange their viewpoints and experiences. An active und fruitful discussion resulted which dealt with the many aspects of anatomy, pathology, clinical and neuro physiology, diagnosis, and with the surgery and physiotherapy which constitute modern-day peripheral nerve lesion treatment. The excit ing ongoing experimental and clinical activities have led us to support the wish and idea to publish the scientific exchange which took place during the Hanover symposium. I truly believe that the articles presented in this book cover so many interesting subjects concerned with peripheral nerve lesions that the book will serve the interested and dedicated physician involved with such cases as a reference work for the basics and also provide him with the therapeutic guidelines to assist him in his daily work.
Cellular Biology of the Experimental Peripheral Nerve Lesion.- Muscle Response to Changes in Innervation.- The Response of Sensory Ganglia and Spinal Cord to Injury.- Pathomorphology of Regenerating Peripheral Nerves.- Role of Neurotrophic Factors in Peripheral Nerve Regeneration.- Electrophysiological Changes Due to Motor Nerve Injury.- Somatosensory Regeneration Following Peripheral Nerve Injury.- The Contribution of Both the Peripheral and Central Nervous Systems to the Pain that Follows Peripheral Nerve Injury.- Clinical Symptoms, Electrophysiological and Morphological Findings in Traumatic Lesions of the Ischiadic Nerve in Domestic Fowl.- Regeneration of Peripheral Nerves by Means of Muscle and Nerve Transplants.- Motor Recovery After Delayed Nerve Suture.- Stimulation of Nerve Axon Outgrowth by Means of Fibrin Adhesive with Added Melanotropic Neuropeptide.- Nerve Regeneration in the Centrocentral Anastomosis.- Biochemical Manipulation of the Microenvironment in Experimental Nerve Regeneration Chambers.- Experimental Repair of Peripheral Nerve Injury Using Venous Autograft.- Experimental Nerve Regeneration under a Vein Graft in the Rat.- Rejection of Allogenic Nerve Grafts in a Genetic Model of the Rat.- Spinal Nerve Lesion and its Regeneration with and without Nerve Suture: An Experimental Study in Rats.- Limitation of Neuroma Formation by Fat Tissue.- The Blood-Nerve Barrier in Peripheral Nerve Injury, Repair, and Regeneration.- Revascularization of Free Autologous Nerve Grafts.- Vascularization of the Peripheral Nerve After Epineural Suture.- Vascularization of the Peripheral Nerve in Laboratory Animals.- Primate Peripheral Nerve Anastomosis with CO2 Laser.- Laser-Assisted Sciatic Nerve Anastomoses and Transplants.- Some Ultrastructural Aspects of Regeneration in 1.32 ?m Nd:YAG Laser-Assisted Peripheral Nerve Transplantation.- Experimental Peripheral Nerve Crush Lesion. I. Posttraumatic Metabolic Responses of Spinal Motoneurons Over Time.- Experimental Peripheral Nerve Crush Lesion. II. Short-Term Reinnervation Changes in Fast Muscle Fibers.- Structural Changes of the Peripheral Nerve After Pressure Lesions in the Domestic Fowl.- Computed Tomography in Peripheral Nerve Pathology.- Initial Experiences with MRI in the Diagnosis of Peripheral Nerve Lesions.- Modern Imaging Procedures in Peripheral Nerve Lesions.- Success of Sensory Evoked Potentials in Patients with Median Compression Syndrome and Additional Neuropathy.- Intraoperative Analysis of the Function of Peripheral Nerves with Sensory Evoked Potentials.- Functional Changes of Single Motor Units After Nerve Suture.- Outcome of Clinical Function in Relation to Motor, Sensory Nerve Conduction, Somatosensory Evoked Potentials, and EMG After Suture of Median and Ulnar Nerves.- Intraoperative Somatosensory Evoked Potential Diagnoses in Brachial Plexus Lesions.- Postoperative Changes in Nerve Conduction Times After Neurolysis of the Distal Median Nerve.- Outcome of Traumatic Peripheral Neuromas After Microsurgical Procedure.- Femoral Nerve Lesion in Surgery of the Hip.- Isolated Traumatic Nerve Lesions of the Extensor Pollicis Longus and Brevis Muscles.- Peripheral Nerve Involvement in Recklinghausen's Disease.- Clinical Aspects of Entrapment Neuropathies of Peripheral Nerves.- Evaluation of the Various Routine Neurophysiological Parameters in Diagnosis of Carpal Tunnel Syndrome.- Relationships between Preoperative Symptoms, Electrophysiological and Intraoperative Findings, and the Outcome in Patients with Carpal Tunnel Syndrome.- Morphological and PathogeneticConsiderations in Entrapment Syndromes.- Pitfalls in Surgery for Carpal Tunnel Syndrome.- Carpal Tunnel Syndrome: A New Surgical Approach.- Anatomical Anomalies Causing Ulnar Neuropathy.- Neurolysis in Ulnar Nerve Entrapment Syndromes.- Thoracic-Outlet Syndrome: Limitations of the Neurophysiological Diagnosis.- Diagnosis and Surgical Management of the Thoracic-Outlet Syndrome.- Retroperitoneal Hematoma with Femoral Neuralgia.- Timing Surgery in Nerve Lesions.- Neurolysis.- Free Vascularized Nerve Grafts.- Caution in the Evaluation of Results of Peripheral Nerve Surgery.- Microsurgical Repair of Peripheral Nerve Lesions: A Study of 150 Injuries of the Median and Ulnar Nerves.- Brachial Plexus Lesions.- Operative Experience with Tumors of the Brachial Plexus.- Neurotization of the Avulsed Brachial Plexus.- Special Considerations Regarding the Treatment of Brachial Plexus Lesions.- Schwannomas of the Brachial Plexus.- Results of Brachial Plexus Surgery.- Selection of Brachial Plexus Cases for Operation - Based on Results.- Free Greater Omentum Transfer After Neurolysis for Actinic (X-Ray) Lesions of the Brachial Plexus.- Dorsal Root Entry Zone Lesions for the Treatment of Post-Brachial Plexus Avulsion Injury Pain.- Dorsal Root Entry Zone Coagulation for Control of Intractable Pain Due to Brachial Plexus Injury.- Postoperative Treatment in Nerve Lesions.- Results of Brachial Plexus Surgery: Secondary Reconstruction.
Cellular Biology of the Experimental Peripheral Nerve Lesion.- Muscle Response to Changes in Innervation.- The Response of Sensory Ganglia and Spinal Cord to Injury.- Pathomorphology of Regenerating Peripheral Nerves.- Role of Neurotrophic Factors in Peripheral Nerve Regeneration.- Electrophysiological Changes Due to Motor Nerve Injury.- Somatosensory Regeneration Following Peripheral Nerve Injury.- The Contribution of Both the Peripheral and Central Nervous Systems to the Pain that Follows Peripheral Nerve Injury.- Clinical Symptoms, Electrophysiological and Morphological Findings in Traumatic Lesions of the Ischiadic Nerve in Domestic Fowl.- Regeneration of Peripheral Nerves by Means of Muscle and Nerve Transplants.- Motor Recovery After Delayed Nerve Suture.- Stimulation of Nerve Axon Outgrowth by Means of Fibrin Adhesive with Added Melanotropic Neuropeptide.- Nerve Regeneration in the Centrocentral Anastomosis.- Biochemical Manipulation of the Microenvironment in Experimental Nerve Regeneration Chambers.- Experimental Repair of Peripheral Nerve Injury Using Venous Autograft.- Experimental Nerve Regeneration under a Vein Graft in the Rat.- Rejection of Allogenic Nerve Grafts in a Genetic Model of the Rat.- Spinal Nerve Lesion and its Regeneration with and without Nerve Suture: An Experimental Study in Rats.- Limitation of Neuroma Formation by Fat Tissue.- The Blood-Nerve Barrier in Peripheral Nerve Injury, Repair, and Regeneration.- Revascularization of Free Autologous Nerve Grafts.- Vascularization of the Peripheral Nerve After Epineural Suture.- Vascularization of the Peripheral Nerve in Laboratory Animals.- Primate Peripheral Nerve Anastomosis with CO2 Laser.- Laser-Assisted Sciatic Nerve Anastomoses and Transplants.- Some Ultrastructural Aspects of Regeneration in 1.32 ?m Nd:YAG Laser-Assisted Peripheral Nerve Transplantation.- Experimental Peripheral Nerve Crush Lesion. I. Posttraumatic Metabolic Responses of Spinal Motoneurons Over Time.- Experimental Peripheral Nerve Crush Lesion. II. Short-Term Reinnervation Changes in Fast Muscle Fibers.- Structural Changes of the Peripheral Nerve After Pressure Lesions in the Domestic Fowl.- Computed Tomography in Peripheral Nerve Pathology.- Initial Experiences with MRI in the Diagnosis of Peripheral Nerve Lesions.- Modern Imaging Procedures in Peripheral Nerve Lesions.- Success of Sensory Evoked Potentials in Patients with Median Compression Syndrome and Additional Neuropathy.- Intraoperative Analysis of the Function of Peripheral Nerves with Sensory Evoked Potentials.- Functional Changes of Single Motor Units After Nerve Suture.- Outcome of Clinical Function in Relation to Motor, Sensory Nerve Conduction, Somatosensory Evoked Potentials, and EMG After Suture of Median and Ulnar Nerves.- Intraoperative Somatosensory Evoked Potential Diagnoses in Brachial Plexus Lesions.- Postoperative Changes in Nerve Conduction Times After Neurolysis of the Distal Median Nerve.- Outcome of Traumatic Peripheral Neuromas After Microsurgical Procedure.- Femoral Nerve Lesion in Surgery of the Hip.- Isolated Traumatic Nerve Lesions of the Extensor Pollicis Longus and Brevis Muscles.- Peripheral Nerve Involvement in Recklinghausen's Disease.- Clinical Aspects of Entrapment Neuropathies of Peripheral Nerves.- Evaluation of the Various Routine Neurophysiological Parameters in Diagnosis of Carpal Tunnel Syndrome.- Relationships between Preoperative Symptoms, Electrophysiological and Intraoperative Findings, and the Outcome in Patients with Carpal Tunnel Syndrome.- Morphological and PathogeneticConsiderations in Entrapment Syndromes.- Pitfalls in Surgery for Carpal Tunnel Syndrome.- Carpal Tunnel Syndrome: A New Surgical Approach.- Anatomical Anomalies Causing Ulnar Neuropathy.- Neurolysis in Ulnar Nerve Entrapment Syndromes.- Thoracic-Outlet Syndrome: Limitations of the Neurophysiological Diagnosis.- Diagnosis and Surgical Management of the Thoracic-Outlet Syndrome.- Retroperitoneal Hematoma with Femoral Neuralgia.- Timing Surgery in Nerve Lesions.- Neurolysis.- Free Vascularized Nerve Grafts.- Caution in the Evaluation of Results of Peripheral Nerve Surgery.- Microsurgical Repair of Peripheral Nerve Lesions: A Study of 150 Injuries of the Median and Ulnar Nerves.- Brachial Plexus Lesions.- Operative Experience with Tumors of the Brachial Plexus.- Neurotization of the Avulsed Brachial Plexus.- Special Considerations Regarding the Treatment of Brachial Plexus Lesions.- Schwannomas of the Brachial Plexus.- Results of Brachial Plexus Surgery.- Selection of Brachial Plexus Cases for Operation - Based on Results.- Free Greater Omentum Transfer After Neurolysis for Actinic (X-Ray) Lesions of the Brachial Plexus.- Dorsal Root Entry Zone Lesions for the Treatment of Post-Brachial Plexus Avulsion Injury Pain.- Dorsal Root Entry Zone Coagulation for Control of Intractable Pain Due to Brachial Plexus Injury.- Postoperative Treatment in Nerve Lesions.- Results of Brachial Plexus Surgery: Secondary Reconstruction.
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