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April 19, 1952

Surgery of Peripheral Nerves

JAMA. 1952;148(16):1456. doi:10.1001/jama.1952.02930160092033

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This volume is primarily an illustrative atlas covering the surgical technique involved in suturing disrupted peripheral nerves in every possible location. The author, during World War II, had experience with over 2,000 nerve injury patients at Wakeman Hospital Center, and he is well qualified to delineate the results of this experience. Skin incisions that permit the exposure of each major nerve in all locations are illustrated. When incisions in relation to moving joint surfaces are unavoidable, they are placed so as to produce a minimum of subsequent disability from scar contracture. Techniques are illustrated for mobilizing long segments of nerves to overcome the large gaps between the nerve ends that often occur in war wounds. A continuous incision over the length of the entire nerve trunk is not recommended; skin and subcutaneous scarring are reduced by interrupted incisions. Mobilization of normal nerve is then accomplished by undermining intact superficial tissues

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