Nerve Repair (e.g., Brachial Plexus Injury)

Nerve repair is a surgical procedure to restore function to a damaged nerve. Nerves transmit signals between the brain and the rest of the body, controlling movement and sensation. When a nerve is injured, it can result in loss of function, pain, and numbness. Nerve repair aims to reconnect or reconstruct the damaged nerve, allowing it to regenerate and restore function.

Example: Brachial Plexus Injury

A brachial plexus injury involves damage to the network of nerves that sends signals from your spinal cord to your shoulder, arm, and hand. These injuries can occur from trauma, such as car accidents or sports injuries.

Direct Nerve Repair (Neurorrhaphy): Suturing the severed ends of the nerve together.
Nerve Grafting: Using a segment of nerve taken from another part of the body (autograft) or from a donor (allograft) to bridge a gap in the damaged nerve.
Nerve Transfer: Transferring a less important functioning nerve to take over the function of a more important damaged nerve.
Nerve decompression: Releasing pressure on a nerve that is being compressed.

Nerve repair surgery is typically considered when:

Severe Nerve Injuries: When the nerve is completely severed or severely damaged.
Persistent Loss of Function: When non-surgical treatments (physical therapy, splinting) fail to restore function.
Significant Neurological Deficits: When there is significant loss of sensation or muscle function.
Progressive Symptoms: When symptoms are worsening over time.
Specific time frame: Nerve repair is most effective when done in a timely manner after injury.

Anesthesia: General or regional anesthesia is used.
Incision: An incision is made over the injured nerve.
Nerve Exploration: The surgeon identifies the damaged nerve.
Repair/Grafting/Transfer: The appropriate repair technique is performed.
Closure: The incision is closed with stitches or staples.

Immobilization: A splint or brace may be used.
Physical Therapy: Rehabilitation is essential for regaining nerve function and muscle strength.
Pain Management: Pain medication is prescribed.
Nerve Regeneration: Nerve regeneration is a slow process, and full recovery may take months or years.
Possible Nerve testing: EMG/NCS testing may be performed to monitor nerve recovery.

This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.