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. 2024 Jul 22:39:e394024.
doi: 10.1590/acb394024. eCollection 2024.

End-to-side neurorrhaphy in the reconstruction of peripheral segmental neural loss: an experimental study

Rafael Silva Lemos  1 , Livia Guerreiro de Barros Bentes  1 , Maria Eduarda Dos Santos Lopes Vasconcelos  2 , Daniela Ferreira Tramontin  1 , Luís Vinícius Pires da Costa  1 , Antonio Leonardo Jatahi Cavalcanti Pimentel  1 , Nayara Pontes de Araújo  3 , Mariseth Carvalho de Andrade  4 , Danusa Neves Somensi  1 , Rui Sérgio Monteiro de Barros  1
Affiliations

End-to-side neurorrhaphy in the reconstruction of peripheral segmental neural loss: an experimental study

Rafael Silva Lemos et al. Acta Cir Bras. .

Abstract

Purpose: To evaluate the effects on peripheral neural regeneration of the end-to-side embracing repair technique compared to the autograft repair technique in Wistar rats.

Methods: Fifteen male Wistar rats were divided into three groups with five animals each: denervated group (GD), autograft group (GA), and embracing group (EG). For the evaluation, the grasping test, electroneuromyography (ENMG), and muscle weight assessment were used.

Results: Muscle weight assessment and ENMG did not show significant neural regeneration at the end of 12 weeks in the DG and GE groups, but only in GA. The grasping test showed an increase in strength between the surgery and the fourth week in all groups, and only the GA maintained this trend until the 12th week.

Conclusions: The present study indicates that the neural regeneration observed in the end-to-side embracing neurorrhaphy technique, in the repair of segmental neural loss, is inferior to autograft repair in Wistar rats.

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Conflict of interest statement

Conflict of interest: Nothing to declare.

Figures

Figure 1
Figure 1. Median nerve repair using the autograft technique. In this technique, the nerve segment was sectioned, and its direction was reversed.
Figure 2
Figure 2. Repair of the median nerve with the ulnar nerve using the embracing technique.
Figure 3
Figure 3. Demonstration of the techniques performed.
Figure 4
Figure 4. Videomagnification system.
Figure 5
Figure 5. Grasping test being performed.
See this image and copyright information in PMC

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