Peripheral Nerve Lesions

The introduction of the operating microscope as a surgical tool revolutionized the treatment of peripheral nerve lesions. A new era thus began in the early 1960s, which led to a substantial improvement in the management of nerve lesions. The results of ne

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Nerve Lesions Edited by M. Samii

With 225 Figures

Springer-Verlag Berlin Heidelberg New York London Paris Tokyo Hong Kong Barcelona

Univ. Prof. Dr. med. M. Samii Medical School Hanover Director of Neurosurgical Clinic City of Hanover Nordstadt Hospital Haltenhoffstral3e 41 3000 Hannover 1, FRG

ISBN-13: 978-3-642-75613-9 e-ISBN-13: 978-3-642-75611-5 DOT: 10.1007/978-3-642-75611-5 Peripheral nerve lesions / edited by M. Samii. p. cm. Includes index. ISBN-13: 978-3-642-75613-9 1. Nerves, Peripheral- Wounds and injuries. 2. Nerves, Peripheral-Regeneration. I. Samii, Madjid. [DNLM: 1. Evoked Potentials, Somatosensory. 2. Nerve Regenerationphysiology. 3. Peripheral Nerve Diseases - diagnosis. 4. Peripheral Nerve Diseases - therapy. 5. Peripheral Nerves - injuries. WL 500 P44458] RD595.P47 1990 617.4'83044 - dc20 DNLM/DLC for Library of Congress This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its current version, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law.

© Springer-Verlag Berlin Heidelberg 1990 SotIcover reprint of the hardcover I st edition 1990 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Typesetting: Fotosatz-Service Kohler, D-8700 Wiirzburg 2114/3130-543210 - Printed on acid-free paper

Preface

The introduction of the operating microscope as a surgical tool revolutionized the treatment of peripheral nerve lesions. A new era thus began in the early 1960s, which led to a substantial improvement in the management of nerve lesions. The results of nerve grafting techniques have demonstrated that, independent of the length of the defect, lesions can be successfully bridged. The free tissue transplants with microvascular anastomosis have also opened new, rewarding possibilities for peripheral nerve reconstruction procedures, facilitating the achievement not only of satisfactory anatomical but also of satisfactory fUhctional results. In order to evaluate the state of the art and reflect retrospectively on 25 years of microneurosurgical treatment of peripheral nerves, numerous outstanding scientists and clinicosurgical physicians were invited to Hanover in order to exchange their viewpoints and experiences. An active und fruitful discus