neurolysis

Intra-neurolysis refers to lysis within the epicardium, including incision and removal of the epithelium of the segment, separation of the nerve bundle, and release of the nerve bundle from the scar. It should be carried out under a surgical microscope or under enlarged glasses. Endogenous lysis is used for the treatment of peripheral nerve injury. Treatment of diseases: nutritional deficiency neuropathy Indication After the nerve is released, if the neuropathy is found to be thicker, it may be hard or indurated, indicating that there is scar adhesion and compression in the nerve, and further neurolysis should be performed. Surgical procedure Incision Centering on the nerve injury site, the skin is opened by the nerve-exposed incision. The incision should be of sufficient length to expose the nerve. 2. Nerve exposure When the nerve is exposed, it should start from the normal tissue at both ends of the injury site and gradually dissipate to the damaged site. After the nerve is released from the normal part of the incision, the nerve trunk is gently pulled up with a rubber strip, and then gradually released to the damaged part, taking care to retain the normal nerve branch. 3. Incision of the epicardium The epidural segment of the lesion was cut longitudinally with a sharp knife, and the subepithelium was separated and retracted to both sides. 4. Separation of nerve bundles After the longitudinal incision of the epicardium, if the neurotic texture is still hard, the interneuronal dissociation should be further performed. Use a sharp knife or small scissors to carefully separate the scar adhesion between the nerve bundles, taking care not to damage the oblique nerve fibers between the nerve bundles. When the nerve bundle is separated, isotonic saline can also be injected between the bundles and separated while injecting. 5. Suture incision After the nerve is released, relax the tourniquet, completely stop the bleeding, flush the wound with isotonic saline, and suture the incision layer by layer.