Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2017 / Cilt: 23 - Sayı: 1

Periferik sinir defektlerinin onarımında biyolojik tüp kullanımı 'sinir dolması'

A biological tube technique for the repair of peripheral nerve defects using 'stuffed nerves'

Pages
7–14
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results indicated that axonal regeneration was similar in Groups 1 and 3, and was better than results seen in Group 2.CONCLUSION: The stuffed nerve technique is an alternative to autogenous nerve grafting and produces similar electrophysiological and histomorphological properties

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND: Presently described is research examining the "stuffed nerve" technique to repair peripheral nerve defects.
📊
Key Findings & Data:METHODS: Twenty-one male Wistar Albino rats were divided into 3 groups of 7, and standard 10-mm defects were created in the sciatic nerve of all subjects.
💡
Conclusion & Impact:Results indicated that axonal regeneration was similar in Groups 1 and 3, and was better than results seen in Group 2.CONCLUSION: The stuffed nerve technique is an alternative to autogenous nerve grafting and produces similar electrophysiological and histomorphological properties
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Presently described is research examining the "stuffed nerve" technique to repair peripheral nerve defects. METHODS: Twenty-one male Wistar Albino rats were divided into 3 groups of 7, and standard 10-mm defects were created in the sciatic nerve of all subjects. Rats were treated with autogenous nerve graft (Group 1), hollow vein graft (Group 2), or vein graft stuffed with shredded nerves (Group 3). After 12 weeks, electrophysiological and histomorphological analyses were performed to evaluate axonal regeneration.RESULTS: Rat groups were compared in terms of latency period and peak-to-peak potential. Latency period was significantly shorter and peak-to-peak potential was significantly greater in Group 1 than in Group 2. However, latency period and peak-to-peak potential did not differ significantly between Groups 1 and 3 or between Groups 2 and 3. To evaluate axonal regeneration, number of axons, axon diameter and myelin sheath thickness was compared between groups. Results indicated that axonal regeneration was similar in Groups 1 and 3, and was better than results seen in Group 2.CONCLUSION: The stuffed nerve technique is an alternative to autogenous nerve grafting and produces similar electrophysiological and histomorphological properties

Özet

AMAÇ: Periferik sinir defektlerinin onarımında 'sinir dolması' tekniği araştırıldı. GEREÇ VE YÖNTEM: Çalışmada 21 adet Wistar Albino cinsi sıçan kullanıldı. Her grupta yedi sıçan olacak şekilde üç grup belirlendi. Tüm sıçanların siyatik sinirinde 10 mm'lik defekt oluşturuldu. Grup 1'de otojen sinir grefti ile, grup 2'de içi boş ven grefti ile, grup 3'de içi parçalanmış sinir ile doldurulmuş ven grefti ile onarım yapıldı. On ikinci haftanın sonunda aksonal rejenerasyonu değerlendirmek için elektrofizyolojik ve histomorfolojik analizler yapıldı. BULGULAR: Latans süresi ve tepe-tepe potansiyelleri istatistiksel olarak karşılaştırıldığında grup 1 ve grup 3, grup 2 ve grup 3 arasındaki fark anlamsızdı. Grup 1'in latans süresi grup 2'den daha kısa ve tepe-tepe potansiyeli ise daha büyüktü. Aksonal rejenerasyonu değerlendirmek için; akson sayısı, akson çapı ve miyelin kılıf kalınlığı gruplar arasında karşılaştırıldı. Aksonal rejenerasyonun grup 1 ve grup 3'de benzer olduğu ayrıca grup 2'den daha iyi olduğu görüldü. TARTIŞMA: Sinir dolması tekniğinin otojen sinir grefti ile benzer elektrofizyolojik ve histomorfolojik özellikler göstermesi otojen sinir greftinin bir alternatifi olabileceğini gösterdi.

🔖

Cite This Article

CAPKİN, S., AKHİSAROĞLU, M., ERGÜR, B. U., BACAKOĞLU, A. A. (2017). Periferik sinir defektlerinin onarımında biyolojik tüp kullanımı 'sinir dolması'. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 23 - Sayı: 1, 7–14. https://ajindex.com/articles/324808

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Chehrazi B. Peripheral nerve injuries: principles of surgical management and outcome. J Neurotrauma 1989;6:191-6
  2. Chen MB, Zhang F, Lineaweaver WC. Luminal fillers in nerve conduits for peripheral nerve repair. Ann Plast Surg 2006;57:462-71
  3. IJkema-Paassen J, Jansen K, Gramsbergen A, Meek MF. Transection of peripheral nerves, bridging strategies and effect evaluation. Biomaterials 2004;25:1583-92
  4. Weber RA, Breidenbach WC, Brown RE, Jabaley ME, Mass DP. A randomized prospective study of polyglycolic acid conduits for digital nerve reconstruction in humans. Plast Reconstr Surg 2000;106:1036-45; discussion 1046-8
  5. Bini TB, Gao S, Xu X, Wang S, Ramakrishna S, Leong KW. Peripheral nerve regeneration by microbraided poly(L-lactide-co-glycolide) biodegradable polymer fibers. J Biomed Mater Res A 2004;68:286-95
  6. Sufan W, Suzuki Y, Tanihara M, Ohnishi K, Suzuki K, Endo K, et al. Sciatic nerve regeneration through alginate with tubulation or nontubulation repair in cat. J Neurotrauma 2001;18:329-38
  7. Dellon AL, Mackinnon SE. An alternative to the classical nerve graft for the management of the short nerve gap. Plast Reconstr Surg 1988;82:849-56
  8. Inada Y, Morimoto S, Takakura Y, Nakamura T. Regeneration of peripheral nerve gaps with a polyglycolic acid-collagen tube. Neurosurgery 2004;55:640-6; discussion 646-8
  9. Matsumoto K, Ohnishi K, Kiyotani T, Sekine T, Ueda H, Nakamura T, et al. Peripheral nerve regeneration across an 80-mm gap bridged by a polyglycolic acid (PGA)-collagen tube filled with laminin-coated collagen fibers: a histological and electrophysiological evaluation of regenerated nerves. Brain Res 2000;868:315-28
  10. Evans GR. Challenges to nerve regeneration. Semin Surg Oncol 2000;19:312-8
  11. Yannas IV, Hill BJ. Selection of biomaterials for peripheral nerve regeneration using data from the nerve chamber model. Biomaterials 2004;25:1593-600
  12. Chiu DT, Janecka I, Krizek TJ, Wolff M, Lovelace RE. Autogenous vein graft as a conduit for nerve regeneration. Surgery 1982;91:226-33
  13. Brushart TM. Nerve repair and grafting. In: Green DP, Hotchkiss RN, Pederson WC, editor. Green's operative hand surgery. Vol
  14. Philadelphia: Churchill Livingstone; 1999. p 1381-403
  15. Chiu DT. Autogenous venous nerve conduits. A review. Hand Clin 1999;15:667-71
  16. Foidart-Dessalle M, Dubuisson A, Lejeune A, Severyns A, Manassis Y, Delree P, et al. Sciatic nerve regeneration through venous or nervous grafts in the rat. Exp Neurol 1997;148:236