Results. The average length of the “minimal” incisions was 3.9 ± 0.6 cm (range, 3.1–6.1 Akt inhibitor drugs cm), with an average reduction in length of 51% as compared with the “classical” incisions (range, 30–75%; P < 0.001). There were no perioperative morbidities. Conclusions. Minimally invasive peripheral nerve surgery applied to the above procedures yields successful surgical outcomes while shortening incision lengths and maximizing patient satisfaction without sacrificing patient safety. © 2010 Wiley-Liss, Inc. Microsurgery, 2010. "
“The

gold standard for the treatment of segmental nerve defect is an autogenous nerve graft. However, donor site morbidity is an inevitable complication. We substituted an autogenous

nerve graft with an inside-out vein graft for the treatment of segmental sensory nerve defect and the clinical results were evaluated retrospectively. Eleven patients of sensory nerve defects have undertaken inside-out vein grafts for the recovery of sensation. The involved nerves were digital nerves in three cases, peroneal nerves in two cases, saphenous nerve intwo cases, and superficial radial nerves in four cases. The average length of defects was 2.71 cm (1–6 cm). Donor veins were harvested4 mm longer than nerve defects and everted to promote nerve regeneration. Patients’ objective satisfactions and two-point discriminations were determined, the Semmes-Weinstein monofilament test was performed, and British Medical Council sensory functional scores were evaluated. selleck screening library Sensory functional 17-DMAG (Alvespimycin) HCl scores recovered to over S3 in all cases. No donor site morbidity was caused by vein harvesting, and all patients achieved satisfactory results with protective sensation at involved sites. The inside-out vein graft offers a good surgical alternative to an autogenous nerve graft for the reconstruction of sensory nerve defects without donor site morbidity. © 2011 Wiley-Liss, Inc. Microsurgery, 2011. “
“The sensory reconstruction of the lower extremity is one of the main goals in lower extremity

reconstruction. Reconstructive options endowing sensory recovery are limited. The aim of this report is to evaluate the neurotized sural flap in reconstruction of foot and ankle defects. Seven cases that were operated for foot and ankle skin defects with the neurotized sural flap were reported. The largest flap was 10 cm × 14 cm in size. Median age was 38 years. Four defects were on the heel, two were on the ankle, and one was on the dorsum of the foot. The sural nerve was coaptated to a recipient nerve in seven patients. All flaps survived totally. Follow-up time ranged between 9 and 29 months. All cases had hot–cold perception and two-point discrimination at average 14 ± 1.63 mm at 6th month. Sensory conduction test revealed very low action potentials related to stimulation of the flap.