Brachial plexus injury: are we doing enogh?

Introduction and Objective: Repair of Brachial plexus injury is a neglected art in developing countries like ours. We discuss here various case scenarios managed at our centre and the challenges involved. Materials and Methods: Cases with brachial plexus injury attending our OPD were included in t...

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Autores principales:	Amit Thapa, Bidur KC, Bikram Shakya
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Brachial plexus injury neurotization outcome Surgery RD1-811
Acceso en línea:	https://doaj.org/article/e4209f0ac103495e87d1714da231fc99
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spelling	oai:doaj.org-article:e4209f0ac103495e87d1714da231fc992021-12-05T19:16:37ZBrachial plexus injury: are we doing enogh?10.3126/jssn.v18i3.152981815-39842392-4772https://doaj.org/article/e4209f0ac103495e87d1714da231fc992016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15298https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction and Objective: Repair of Brachial plexus injury is a neglected art in developing countries like ours. We discuss here various case scenarios managed at our centre and the challenges involved. Materials and Methods: Cases with brachial plexus injury attending our OPD were included in this study. Different neurotisation and repair techniques were used depending on the situations. Outcome in form of improvement in function and relief of pain were evaluated. Results: During last 5 year (July 2010 to September 2015), 100 patients with brachial plexus injury were evaluated in our outpatient OPD. Majority of them were too late to be offered any treatment. 20% patients had neuropraxia and were managed conservatively. 41 patients were operated. 19 were complete brachial plexus injury and underwent extraplexal neurotisation procedures. 11 were partial brachial plexus injury and had intraplexal neurotisation procedures. Neurolysis were done as required. 11 case of peripheral nerve injury was managed with direct repair and neurolysis. Almost all patients with neuropraxia had good recovery in follow up. Patients who underwent surgical intervention had good recovery in terms of recovery recovery of function and relief of pain. Conclusion: Due to lack of awareness and socioeconomic reasons, majority of nepalese people approach very late for surgical options. Benefit of the brachial plexus repair depends upon factors like type of injury, timing of intervention, surgical technique and post operative follow up. We had good outcome in our patients who came early and continued on follow up. Amit ThapaBidur KCBikram ShakyaSociety of Surgeons of NepalarticleBrachial plexus injuryneurotizationoutcomeSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Brachial plexus injury neurotization outcome Surgery RD1-811
spellingShingle	Brachial plexus injury neurotization outcome Surgery RD1-811 Amit Thapa Bidur KC Bikram Shakya Brachial plexus injury: are we doing enogh?
description	Introduction and Objective: Repair of Brachial plexus injury is a neglected art in developing countries like ours. We discuss here various case scenarios managed at our centre and the challenges involved. Materials and Methods: Cases with brachial plexus injury attending our OPD were included in this study. Different neurotisation and repair techniques were used depending on the situations. Outcome in form of improvement in function and relief of pain were evaluated. Results: During last 5 year (July 2010 to September 2015), 100 patients with brachial plexus injury were evaluated in our outpatient OPD. Majority of them were too late to be offered any treatment. 20% patients had neuropraxia and were managed conservatively. 41 patients were operated. 19 were complete brachial plexus injury and underwent extraplexal neurotisation procedures. 11 were partial brachial plexus injury and had intraplexal neurotisation procedures. Neurolysis were done as required. 11 case of peripheral nerve injury was managed with direct repair and neurolysis. Almost all patients with neuropraxia had good recovery in follow up. Patients who underwent surgical intervention had good recovery in terms of recovery recovery of function and relief of pain. Conclusion: Due to lack of awareness and socioeconomic reasons, majority of nepalese people approach very late for surgical options. Benefit of the brachial plexus repair depends upon factors like type of injury, timing of intervention, surgical technique and post operative follow up. We had good outcome in our patients who came early and continued on follow up.
format	article
author	Amit Thapa Bidur KC Bikram Shakya
author_facet	Amit Thapa Bidur KC Bikram Shakya
author_sort	Amit Thapa
title	Brachial plexus injury: are we doing enogh?
title_short	Brachial plexus injury: are we doing enogh?
title_full	Brachial plexus injury: are we doing enogh?
title_fullStr	Brachial plexus injury: are we doing enogh?
title_full_unstemmed	Brachial plexus injury: are we doing enogh?
title_sort	brachial plexus injury: are we doing enogh?
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/e4209f0ac103495e87d1714da231fc99
work_keys_str_mv	AT amitthapa brachialplexusinjuryarewedoingenogh AT bidurkc brachialplexusinjuryarewedoingenogh AT bikramshakya brachialplexusinjuryarewedoingenogh
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Brachial plexus injury: are we doing enogh?

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