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July 19, 1976

Repair of Severed Brachial Plexus

JAMA. 1976;236(3):252-253. doi:10.1001/jama.1976.03270030012012

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To the Editor.—  Concerning the article entitled "Repair of Severed Brachial Plexus: A Plea to Emergency Room Physicians" (235:1039, 1976), a rebuttal is in order warning physicians of the hazards of following the recommendations of this article. The do's and don't's of the care of severed peripheral nerves have been well worked out and recorded in the annals of the surgery of World War I and World War II. Unfortunately, the zest for writing in the academic sphere seems to have repressed the zeal for reading.Placing markers on the ends of severed nerves is of no surgical value in their secondary repair. One versed in peripheral nerve repair, must of necessity, be an anatomist and will always plan his approach so that the nerve is first identified proximal and distal to the scar tissue in normal tissue, and the last site to be visualized is the site of nerve