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NERVE DEGENERATION,
REGENERATION AND
REPAIR TECHNIQUES
Gently trim the nerve ends to identify good neural tissue and locate
fescicles
Transect thin fascile group there with microscissors and prepare both ends
Using diamond knife cut the nerve graft into sections 10% - 15% longer than
the defect
Excise the redundent epineurial and areolar tissue from the graft
Place the nerve grafts between the proximal and distal nerve stumps
Use sketch of fascicles to determine where to attach the graft at each end
Suture the nerve graft at each end using 10-0 nylon placed through the
epineurium of graft and perineurium of one of the fascicle group
Close the skin carefully so that graft is not displaced by shearing forces during
wound closure
Neuroma dissection before nerve grafting
Technique of interfascicular nerve grafting