PMID: 16510901Mar 3, 2006Paper

Method for surgical access to the brachial plexus

Georgian Medical News
I PheradzeM Baratashvili

Abstract

Problem of brachial plexus injuries is deemed one of the most topical in contemporary surgery. Irrespective of the newest achievements in medical science and technique, outcomes of treatment of brachial plexus injuries are yet incapable to be estimated as satisfactory. Quality of technical performance in many respects depends on convenience of access to the structures to be operated. The deficiency of the offered methods is that they are incapable to ensure sufficiently wide access to indicated structures, thus making operation more complicated and long and depressing functional and esthetical outcomes of the surgical treatment. The method, offered by us, is deemed to be solution of the above-mentioned problems. The core of the method is making of additional incision along lateral side of the horizontal wound, cutting out collarbone segment along the sides of wound and peeling up the formed rectangular clout, ensuring the wide access to the appropriate structures. We have examined and operated 59 patients with pathologies of brachial plexus and nearby structures. In 22 cases, where we applied the methodology offered by us, the above-mentioned complications did not arise: wide access facilitated technical aspect of the operation...Continue Reading

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