Omental transplantation for an injury in the sciatic nerve

Clinical case: A 26-year old woman had a 6-month history of motor and sensorial loss in her right foot and leg after undergoing a hip replacement surgery. Two electro-diagnostic studies revealed absence of nerve conduction in tibial, fibular, and sciatic nerves. Six moths afterwards, the pa...

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Detalles Bibliográficos
Autores: Cruz, Hernando Rafael, Peterson, Paul Williams, Amezcua, Juan Pedro, García, Wilfredo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2010
País:Perú
Institución:Colegio Médico del Perú
Repositorio:Acta Médica Peruana
Idioma:español
OAI Identifier:oai:amp.cmp.org.pe:article/1463
Acceso en línea:https://amp.cmp.org.pe/index.php/AMP/article/view/1463
Access Level:acceso abierto
Palabra clave:Epiplón
vervio ciático
Omentum
sciatic nerve
Descripción
Sumario:Clinical case: A 26-year old woman had a 6-month history of motor and sensorial loss in her right foot and leg after undergoing a hip replacement surgery. Two electro-diagnostic studies revealed absence of nerve conduction in tibial, fibular, and sciatic nerves. Six moths afterwards, the patient underwent an omental transplantation in the damaged area of the right sciatic nerve. Results: Neurological improvement occurred from the second day after surgery. Nowadays, two years after surgery, the patient has mild to moderate paralysis and hypoesthesia in her right foot and leg. The patient is able to walk using orthopedic support. Conclusion: These results indicate that with this surgical approach we may be able to get over the sequels caused by ischemia and/or trauma in the sciatic nerve; and probably this may also apply to the brachial plexus.