## Abstract Vein grafts have been used both experimentally and clinically to bridge gaps in peripheral nerves. This study describes a modification of the vein graft technique in which vein graft conduits are pulled inside‐out before anastomosis with proximal and distal nerve stumps. This technique
Inside-out vein graft and inside-out artery graft in rat sciatic nerve repair
✍ Scribed by Alécio Santos Barcelos; Antonio Castro Rodrigues; Maeli Dal Pai Silva; Carlos R. Padovani
- Publisher
- John Wiley and Sons
- Year
- 2003
- Tongue
- English
- Weight
- 294 KB
- Volume
- 23
- Category
- Article
- ISSN
- 0738-1085
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✦ Synopsis
Abstract
Although veins and arteries present similar wall structures, there are differences which may be relevant in peripheral nerve reconstruction. Inside‐out vein grafts (IOVG) have been satisfactorily used to repair both motor and sensitive nerves. However, the inside‐out artery graft (IOAG) is a new technique and not fully investigated. Our study presents comparative morphological data on nerve regeneration achieved with IOVG and IOAG in the repair of Wistar rat sciatic nerves. Jugular veins and aorta arteries were harvested from donor animals and used “inside‐out” to bridge a 10‐mm gap. Animals were sacrificed at 10 weeks to evaluate nerve regeneration. Both techniques presented great variability in nervous tissue, though some animals showed satisfactory results. Different intensities of scarring processes might have interfered with nerve regeneration. Although IOVG and IOAG techniques showed similar morphometric results, in general, IOVG presented a closer‐to‐normal nerve organization than IOAG. © 2003 Wiley‐Liss, Inc. MICROSURGERY 23:66–71 2003
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