Uchio Edward, Hoang Don, Alam Syed, McRae Matthew, Kishinevsky Anya, Narayan Deepak
Tower Research Institute, Tower Urology, Los Angeles, California, USA.
Conn Med. 2012 Jan;76(1):27-31.
The sural nerve is ideal for autologous nerve reconstruction. Traditional open harvest techniques result in a large prominent scar, delayed ambulation and poor patient satisfaction. Accordingly, we have designed a neurotome device to exclusively harvest the sural nerve as a safe and effective alternative to traditional techniques. Five patients underwent sural nerve harvest using our neurotome device. Scanning electron microscopy confirmed the preservation of histological nerve architecture when compared to nerves harvested by traditional open technique. Patients who underwent traditional open harvest of the sural nerve were asked to fill out a questionnaire to assess patient satisfaction. Ninety-three percent preferred a shorter scar, 20% complained of difficult ambulation, while 50% found troubling sensory deficits. Patients undergoing sural nerve harvest by our novel technique were satisfied with the cosmetic results and had less difficulty in ambulation. To optimize operative technique, cadaveric dissection of 15 limbs was done to further define the anatomic relationship of the sural nerve to the short saphenous vein. Minimally invasive harvest of sural nerve through our novel technique yields good cosmetic and functional results.
腓肠神经是自体神经重建的理想选择。传统的开放取材技术会导致明显的大疤痕、行走延迟和患者满意度低。因此，我们设计了一种神经刀装置，专门用于取材腓肠神经，作为传统技术安全有效的替代方法。五名患者使用我们的神经刀装置进行了腓肠神经取材。与通过传统开放技术取材的神经相比，扫描电子显微镜证实了组织学神经结构的保留。接受腓肠神经传统开放取材的患者被要求填写一份问卷以评估患者满意度。93%的患者更喜欢较短的疤痕，20%的患者抱怨行走困难，而50%的患者发现有令人困扰的感觉障碍。通过我们的新技术进行腓肠神经取材的患者对美容效果满意，行走困难较少。为了优化手术技术，对15条肢体进行了尸体解剖，以进一步明确腓肠神经与小隐静脉的解剖关系。通过我们的新技术微创取材腓肠神经可产生良好的美容和功能效果。
