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A Study of the Operative Treatment for Loss of Nerve Substance in Peripheral Nerves,

A Study of the Operative Treatment for Loss of Nerve Substance in Peripheral Nerves,


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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1895 Excerpt: ... wound. The wound was closed with catgut and silk sutures. Examination.--April 23, 1894 (149 days after). After removing the skin and subcutaneous connective tissue, the peripheral median stump was found to be firmly united to the accompanying ulnar. The central median stump terminated in a large bulb. Electrical stimulation of the peripheral median showed it to be degenerated; no contraction of muscles supplied, and no reflexes were observed. (/) Le"t1evant's And T1llmanns' Operat1on, That 1s, CrossSutur1ng The Long Ends And Graft1ng The Short Ends Of Two Parallel Nerves Cut At A D1fferent Level. Experiment so.--Nov. 29, 1893. Young mastiff about one year old. grm. morph. sulph., followed by ether. Operation.--The ulnar and median were exposed. From the two nerves were exsected segments 4 ctm. long. The portions removed were taken from different levels of the two nerves. As will be seen from Fig. 3, the ulnar was divided much higher up than the median, and as the segments removed from the two nerves were of about the same length, the peripheral stump of the ulnar was longer than that of the median. In cases where, as in the present experiment, an incision passes obliquely over two nerves having a parallel course, and where so much nerve substance is lost that the respective ends cannot be brought together, Tillmanns recommends a "cross-suturing " of the longer ends, and a grafting of the shorter stumps to the accompanying nerve trunk. Tillmanns' suggestion was made use of in this operation. The longer central stump of the median was sutured to the longer peripheral stump of the ulnar. The short central stump of the ulnar was grafted (stitched) to the central median, and the short peripheral F1g. 3.--a, central ulnar stump; a., periphe...


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Product Details
  • ISBN-13: 9781130129427
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 36
  • Spine Width: 2 mm
  • Width: 189 mm
  • ISBN-10: 113012942X
  • Publisher Date: 01 Mar 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 82 gr


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