Morbidity following sural nerve harvesting: a prospective study.

Abstract:

OBJECTIVE:To evaluate donor site morbidity following sural nerve harvesting, with special attention to the recovery of sensory loss. METHODS:We prospectively followed 38 subjects who underwent sural nerve harvest, including two with bilateral nerve excision. Symptoms related to sural nerve excision were evaluated and demarcation of the area with reduced touch sensation was quantified. Assessments were performed periodically up to 1 year after surgery and the results of different sensory evaluations were compared. RESULTS:A significant reduction of sensory deficit was identified between consecutive evaluations (p<0.05). Decreases of 26.85%, 20.69% and 24.29% were observed 3, 6 and 12 months after surgery, respectively. Shock-like pain (7.5%), stabbing pain (7.5%), and numbness (5%) were the most frequently reported symptoms. All symptoms were brief and resolved spontaneously 3-6 months after surgery. CONCLUSION:Sural nerve harvest can be performed with acceptable morbidity. When present, symptoms resolve between the third and sixth month after surgery and a significant reduction of sensory loss in the area innervated by the sural nerve was observed during the first year of follow-up.

journal_name

Clin Neurol Neurosurg

authors

Martins RS,Barbosa RA,Siqueira MG,Soares MS,Heise CO,Foroni L,Teixeira MJ

doi

10.1016/j.clineuro.2012.02.045

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

1149-52

issue

8

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(12)00139-4

journal_volume

114

pub_type

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