Abstract
Various types of lasers have already been tested as a substitute for sutures in microsurgical peripheral nerve anastomoses (Almquist et al. 1984; Fischer et al. 1985; Ulrich et al. 1986). In a histological evaluation of experiments using this technique, the 1.32 μm Nd:YAG laser has been found to be suitable but not appreciably superior to epineurial suture alone (Schober et al. 1988). It was advocated to use the 1.32 μm Nd:YAG laser with its inherent property of precise coagulation in peripheral nerve transplantation, a procedure where so far laser application has been restricted to the milliwatt CO2 laser (Richmond 1986). In this report we give an account of some ultrastructural features pertinent to the outcome of regeneration in such an experimental design. A final evaluation must await the conclusion of a larger experimental series, technical details of which are described in another contribution to this volume (Ulrich et al.).
This research was supported by the Ministerium für Wissenschaft und Forschung des Landes Nordrhein-Westfalen, FRG.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ahmed AM, Weiler RO (1979) The blood-nerve barrier and reconstitution of the perineurium following nerve grafting. Neuropathol Appl Neurobiol 5:469–483.
Almquist EE, Nachemson A, Auth D, Almquist B, Hall S (1984) Evaluation of the use of the argon laser in repairing rat and primate nerves. J Hand Surg (Am) 9:792–799.
Beggs JL, Fischer DW, Shetter AG (1986) Comparative study of rat sciatic nerve microepineurial anastomoses made with carbon dioxide laser and suture techniques. II. A morphometric analysis of myelinated nerve fibers. Neurosurgery 18:266–269.
Edinger L (1918) Untersuchungen über die Neubildung des durchtrennten Nerven. Dtsch Zeitschr Nervenheilk 58:1–32.
Fischer DW, Beggs JL, Kenshalo DL Jr, Shetter AG (1985) Comparative study of microepineurial anastomoses with the use of CO2 laser and suture techniques in rat sciatic nerves. I. Surgical technique, nerve action potentials, and morphologic studies. Neurosurgery 17:300–308.
Hudson AR, Hunter D, Kline DG, Bratton BR (1979) Histological studies of experimental interfascicular graft repairs. J Neurosurg 51:333–340.
Jenq CB, Coggeshall RE (1986) The effects of an autologous transplant on patterns of regeneration in rat sciatic nerve. Brain Research 364:45–56.
Morris JH, Hudson AR, Weddell G (1972) A study of degeneration and regeneration in the divided rat sciatic nerve based on electron microscopy. IV. Changes in fascicular microtopography, perineurium and endoneural fibroblasts. Z Zeilforsch 124:165–203.
Noakes PG, Bennett MR (1987) Growth of axons into developing muscles of chick forelimb is preceded by cells that stain with Schwann cell antibodies. J Comp Neurol 259:330–347.
Richmond IL (1986) The use of lasers in nerve repair. In: Fasano AV (ed) Advanced intraoperative technologies in neurosurgery. Springer, Wien New York, pp 175–183.
Schober R, Ulrich F, Sander T, Dürselen H, Hessel S (1986) Laser-induced alteration of collagen substructure allows microsurgical tissue welding. Science 232:1421–1422.
Schober R, Ulrich F, Sander Th (1988) A histological evaluation of experimental nerve anastomoses with the 1.32μm Nd:YAG-laser. Adv Neurosurg 16:31–35.
Thomas PK, Jones DG (1967) The cellular response to nerve injury. II. Regeneration of the perineurium after nerve section. J Anat 101:45–55.
Ulrich F, Sander T, Bock WJ (1986) Anastomosis of the sciatic nerve of the rat with the modified Nd:YAG laser. A preliminary report. In: Waidelich W, Kiefhaber P (eds) Laser/Optoelektronik in der Medizin. Springer, Berlin Heidelberg New York Tokyo, pp 414–417.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Schober, R., Ulrich, F., Sander, T. (1990). Some Ultrastructural Aspects of Regeneration in 1.32 μm Nd:YAG Laser-Assisted Peripheral Nerve Transplantation. In: Samii, M. (eds) Peripheral Nerve Lesions. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75611-5_26
Download citation
DOI: https://doi.org/10.1007/978-3-642-75611-5_26
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-75613-9
Online ISBN: 978-3-642-75611-5
eBook Packages: Springer Book Archive