01
Release & reconstruction of peripheral nerves
Injury to the peripheral nerve and brachial plexus usually occurs during a car accident, work, sports, and other accidents, military and hostile acts and due to external factors, such as cut, stab, gunshot wound, traction injury, crush injury or prolonged pressure.
As a result, many symptoms can appear, including: acute neuropathic pain, sensory disturbances - partial or complete loss of sensation, motor disturbances - movement limitations to the point of paralysis.
Approaches in treatment of an injured peripheral nerve depend on the severity of the injury. There are cases where the injury is partial and the nerve tends to recover independently accompanied by conservative treatment and physiotherapy.
In cases of more significant injury and in the absence of improvement under conservative treatment, microsurgical intervention is required for release and in some cases reconstruction of the nerve through transplantation is required.
Microsurgical treatment of peripheral nerves
During the operation, using a high magnification microscope, microsurgical tools and electrophysiological monitoring, the nerve is released from external and internal scars formed after the injury.
In cases of complete injury with nerve rupture, reconstruction is performed using a nerve transplant. These techniques are designed to allow recovery and rehabilitation of the injured nerve.
02
Release & reconstruction of brachial plexus
Brachial plexus is a large nerve plexus that emerges from the cervical spine.
The brachial plexus and the nerves that extend from it are responsible for the motor and sensory function of the upper limb. Injury to the brachial plexus, whether to one or more of the nerves, can be caused by an incision, stab, gunshot wound, strong stretch, crush injury or strong and continuous pressure.
As a result, many symptoms may appear, including: acute neuropathic pain, sensory disturbances - partial or complete loss of sensation, motor disturbances - movement limitations until paralysis.
Microsurgical treatment of the brachial plexus
During the operation, using a high magnification microscope, microsurgical tools and
electrophysiological monitoring, brachial plexus, or a single nerve from it is released from external and internal scars formed after the injury.
In cases of complete injury with nerve rupture, reconstruction is performed using a nerve transplant. These techniques are designed to allow recovery and rehabilitation of the injured nerve.
03
Tumors of peripheral
nerve origin
The most common tumors in the peripheral nervous system are benign tumors - schwannoma and neurofibroma, which may appear in the peripheral nerve, brachial plexus and cauda equina nerves and be asymptomatic.
However, in some cases they may cause pain and functional and sensory disturbances. In these cases, microsurgical treatment is required to remove the tumor, which will allow the patient to return to active daily living (ADL) without limitations.
Microsurgical treatment of peripheral nerve tumors, brachial plexus and cauda equina nerves
During the operation, using a high magnification microscope, microsurgical tools and electrophysiological monitoring, the tumor is carefully removed while protecting the nerve fibers in its environment, in order to maintain nerve function and allow the patient optimal recovery after surgery.