神経吻合器による末梢神経離断例に対する端々吻合の臨床経験について(<特集>脳と神経の研究III)

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Various suturing methods for amputated nerve trunks, have been reported. The most popular one which is universally employed is hand suturing technique with threads. Clinical experience obtained by this method does not always bring steady results mainly due to individual difference in suture technique and inadvertent trauma to the nerve fibers during the operative process. Plasma suture technique, which is rather extensively utilized in U.S.A. and Europe, is far superior to the hand suture technique because of not leaving foreign body reaction at the anastomosis. However, this method can not be used when slight tension exists at the proposed anastomosis area due to its weakness toward outer pulling force. Russians have developed a new suture technique using an instrument based on stapling device but this method leaves metallic foreign bodies at the anastomosis which can develop into a neurinoma. Nakayama's vascular anastomosis instrument, composed of two bisected rings, was first tried for the amputated nerve anastomosis on dogs. This method was found to be quite satisfactory for this particular purpose because it tolerates considerable tension and leaves no foreign body reaction. Rings that were use for anastomosis free themselves away from the sutured line within one month because they are divided in two portions. This vascular anastomosing instrument is revised for nerve anastomosis use and 15 anastomosis were performed in 12 patients with satisfactory clinical results.
千葉大学の論文
1966-11-28

神経吻合器による末梢神経離断例に対する端々吻合の臨床経験について(<特集>脳と神経の研究III)

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