Assmus H
Neurochirurgia (Stuttg). 1983 Mar;26(2):51-2. doi: 10.1055/s-2008-1053611.
In 19 patients the sural nerve was removed for nerve grafting by a specially designed nerve stripper. This technique provides a safe and time-saving removal of the nerve in length up to 34 cm (depending on the length of the stripper used). From a single short incision at the level of the lateral malleolus the nerve is stripped proximally tearing some small branches of the distal nerve. The relatively blunt tip avoids inadvertent transection of the nerve at a lower level or dissection of the nerve at a point where branching occurs. Finally the nerve is cut by the divided cylinder at the tip of the stripper.
在19例患者中,使用专门设计的神经剥离器切除腓肠神经用于神经移植。该技术能安全、省时地切除长达34厘米的神经(取决于所使用剥离器的长度)。通过在外踝水平做一个短切口,将神经向近端剥离,切断远端神经的一些小分支。相对钝圆的尖端可避免在较低水平意外横断神经或在神经分支处进行解剖。最后,在剥离器尖端的分隔圆柱处切断神经。