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Chirurgia 2004 December;17(6):223-6

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: Italian

Treatment of painful neuromas due to amputation with vein graft: a preliminary study

Monacelli G., Cascioli I., Spagnoli A. M., Irace S.


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Aim. The treatment of lesions due to amputation of hand nerves is very important to prevent the neuromas formation. Many methods have been used for the treatment of neuromas: implantation in muscles or bones, electrofulguration, neurorrhaphy. The aim of this study is to evaluate the prevention of neuroma with the implantation of a nerve ending into a vein.
Methods. Seven patients with painful cutaneous neuroma of the hand have been treated by neuroma excision followed by proximal vein implantation.
Results. All the patients reported immediate pain relief after surgery. In 2 cases oxyaphia persisted for 3 months.
Conclusion. On the basis of personal experience, it is possible to confirm that the proxymal vein implantation technique is the method of choice in the treatment of lesions due to nerve amputation.

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