Peripheral Nerve surgery

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Peripheral nerve surgery is surgery on the nerves that have left the central nervous system and the spinal canal. They may be the cranial nerves like the facial nerve or the peripheral nerves like the brachial plexus, median nerve, ulnar nerve etc. This surgery is usually done with magnification to give superior results.
Surgery on the peripheral nerves is done with magnification. The treatment may be prolonged and may need more than one procedure.
The common injuries that occur are injuries of the nerves in the limbs especially the upper limbs. Early surgery of the nerves gives good results. In some cases, with a loss of nerve length nerve grafting may be necessary.
In certain situations where in the patient is seen very late muscle or tendon transfers may be necessary to restore function.

Brachial Plexus Injuries

Brachial plexus injuries are some of the more devastating injuries. Road traffic accidents due to two-wheeler accidents are the overwhelming cause of these injuries.

The brachial plexus is a group of five major nerves that together supply the upper limb. Damage to this plexus can lead to a totally flail upper limb. The treatment for these injuries involves careful clinical examination, appropriate investigations at the correct time and timely surgery. The pattern of injury will dictate the type of surgery that has to be performed.

Neurolysis, nerve repair, nerve grafting, nerve transfers, muscle transfers and free functional muscle transfers are some of the commonly done surgeries for this condition.

Sometimes the brachial plexus can get damaged birth leading to injury to the brachial plexus. This is known as Obstetric Brachial Plexus palsy. The spectrum of this disease is wide and can cause varying degrees of deformity. Surgery on these children can help to minimize the consequences of this deformity.