Fibrin glue mitigates the learning curve of microneurosurgical repair
EL Whitlock, R Kasukurthi, Y Yan… - … : Official Journal of …, 2010 - Wiley Online Library
Microsurgery: Official Journal of the International Microsurgical …, 2010•Wiley Online Library
Microneurosurgical technique has a steep learning curve. An alternative to microepineurial
suture repair of peripheral nerves that circumvents this learning curve would be ideal. We
investigated the effect of surgeon experience on suture versus fibrin glue coaptations in a
mouse sciatic nerve graft model. Sixty‐four mice received sciatic nerve grafts with either
suture or fibrin glue repair by either a naïve surgeon (medical student) or a surgeon with
extensive microsurgical experience. Grafts underwent quantitative histomorphometry at 3 …
suture repair of peripheral nerves that circumvents this learning curve would be ideal. We
investigated the effect of surgeon experience on suture versus fibrin glue coaptations in a
mouse sciatic nerve graft model. Sixty‐four mice received sciatic nerve grafts with either
suture or fibrin glue repair by either a naïve surgeon (medical student) or a surgeon with
extensive microsurgical experience. Grafts underwent quantitative histomorphometry at 3 …
Abstract
Microneurosurgical technique has a steep learning curve. An alternative to microepineurial suture repair of peripheral nerves that circumvents this learning curve would be ideal. We investigated the effect of surgeon experience on suture versus fibrin glue coaptations in a mouse sciatic nerve graft model. Sixty‐four mice received sciatic nerve grafts with either suture or fibrin glue repair by either a naïve surgeon (medical student) or a surgeon with extensive microsurgical experience. Grafts underwent quantitative histomorphometry at 3 weeks postoperatively. Suture repairs performed by the naïve surgeon demonstrated significantly poorer distal regeneration than all other repairs. Histomorphometric parameters of suture and glue repairs performed by the experienced surgeon were not significantly different from the glue coaptation by the naïve surgeon. Fibrin glue may be considered as an alternative to microepineurial suture repair, particularly in the setting of relative surgeon inexperience with microsurgical technique. © 2010 Wiley‐Liss, Inc. Microsurgery 2010.
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