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The efficacy of wrapping the neurorrhaphy site utilizing dura substitute: A case series
BACKGROUND: Different procedures have been developed to improve the surgical outcome of peripheral nerve injuries. The purpose of this study was to evaluate the efficacy of wrapping the neurorrhaphy site utilizing dura substitute graft as an alternative conduit in the management of peripheral nerve...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645511/ https://www.ncbi.nlm.nih.gov/pubmed/34877054 http://dx.doi.org/10.25259/SNI_586_2021 |
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author | ElKholy, Ahmed Rizk Sallam, Ahmed M. AlShamekh, Arwa S. Alomar, Najeeb Alghabban, Fatimah A. Alzahrani, Basmah S. Bafaqih, Saeed M. AlSubaie, Fahd A. AlQadasi, Khalil S. Alturki, Abdulrahman Y. Bafaquh, Mohammed |
author_facet | ElKholy, Ahmed Rizk Sallam, Ahmed M. AlShamekh, Arwa S. Alomar, Najeeb Alghabban, Fatimah A. Alzahrani, Basmah S. Bafaqih, Saeed M. AlSubaie, Fahd A. AlQadasi, Khalil S. Alturki, Abdulrahman Y. Bafaquh, Mohammed |
author_sort | ElKholy, Ahmed Rizk |
collection | PubMed |
description | BACKGROUND: Different procedures have been developed to improve the surgical outcome of peripheral nerve injuries. The purpose of this study was to evaluate the efficacy of wrapping the neurorrhaphy site utilizing dura substitute graft as an alternative conduit in the management of peripheral nerve injury. METHODS: This retrospective clinical case series included 42 patients with a single peripheral nerve injury. The mean age was 26.8 ± 11 years, and the mean duration of symptoms was 3 ± 1.8 months. The visual analogue score (VAS) for pain and the Medical Research Council’s (MRC) grading for motor power were used to evaluate the functional outcome among our patients. All patients were operated on for primary microscopic end-to-end repair, followed by wrapping the neurorrhaphy site with dura substitute graft as a conduit. Patients were followed in the outpatient clinic with regular visits for average of 6 months. RESULTS: Thirty-seven patients (83%), showed functional improvement in all aspects, the VAS for pain and the MRC for motor power, as well as the functional state. One patient (2.3%) developed a postoperative hematoma collection, which needed immediate evacuation. Superficial wound infection, reported in two patients (4.7%), was treated conservatively. No postoperative neuroma was observed among our patients during the follow-up period. CONCLUSION: Wrapping the neurorrhaphy site utilizing dura substitute as conduit appears to be safe and might prove effective in managing peripheral nerve injury. |
format | Online Article Text |
id | pubmed-8645511 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-86455112021-12-06 The efficacy of wrapping the neurorrhaphy site utilizing dura substitute: A case series ElKholy, Ahmed Rizk Sallam, Ahmed M. AlShamekh, Arwa S. Alomar, Najeeb Alghabban, Fatimah A. Alzahrani, Basmah S. Bafaqih, Saeed M. AlSubaie, Fahd A. AlQadasi, Khalil S. Alturki, Abdulrahman Y. Bafaquh, Mohammed Surg Neurol Int Original Article BACKGROUND: Different procedures have been developed to improve the surgical outcome of peripheral nerve injuries. The purpose of this study was to evaluate the efficacy of wrapping the neurorrhaphy site utilizing dura substitute graft as an alternative conduit in the management of peripheral nerve injury. METHODS: This retrospective clinical case series included 42 patients with a single peripheral nerve injury. The mean age was 26.8 ± 11 years, and the mean duration of symptoms was 3 ± 1.8 months. The visual analogue score (VAS) for pain and the Medical Research Council’s (MRC) grading for motor power were used to evaluate the functional outcome among our patients. All patients were operated on for primary microscopic end-to-end repair, followed by wrapping the neurorrhaphy site with dura substitute graft as a conduit. Patients were followed in the outpatient clinic with regular visits for average of 6 months. RESULTS: Thirty-seven patients (83%), showed functional improvement in all aspects, the VAS for pain and the MRC for motor power, as well as the functional state. One patient (2.3%) developed a postoperative hematoma collection, which needed immediate evacuation. Superficial wound infection, reported in two patients (4.7%), was treated conservatively. No postoperative neuroma was observed among our patients during the follow-up period. CONCLUSION: Wrapping the neurorrhaphy site utilizing dura substitute as conduit appears to be safe and might prove effective in managing peripheral nerve injury. Scientific Scholar 2021-11-23 /pmc/articles/PMC8645511/ /pubmed/34877054 http://dx.doi.org/10.25259/SNI_586_2021 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article ElKholy, Ahmed Rizk Sallam, Ahmed M. AlShamekh, Arwa S. Alomar, Najeeb Alghabban, Fatimah A. Alzahrani, Basmah S. Bafaqih, Saeed M. AlSubaie, Fahd A. AlQadasi, Khalil S. Alturki, Abdulrahman Y. Bafaquh, Mohammed The efficacy of wrapping the neurorrhaphy site utilizing dura substitute: A case series |
title | The efficacy of wrapping the neurorrhaphy site utilizing dura substitute: A case series |
title_full | The efficacy of wrapping the neurorrhaphy site utilizing dura substitute: A case series |
title_fullStr | The efficacy of wrapping the neurorrhaphy site utilizing dura substitute: A case series |
title_full_unstemmed | The efficacy of wrapping the neurorrhaphy site utilizing dura substitute: A case series |
title_short | The efficacy of wrapping the neurorrhaphy site utilizing dura substitute: A case series |
title_sort | efficacy of wrapping the neurorrhaphy site utilizing dura substitute: a case series |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645511/ https://www.ncbi.nlm.nih.gov/pubmed/34877054 http://dx.doi.org/10.25259/SNI_586_2021 |
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