Aspirin and Diabetes Mellitus

Abstract

DICAL JRNAL1071However, the reason for this may be that almost all the lesions were distal and the distance to be covered by the outgrowing axons was therefore not great.Secondary suture should be undertaken as soon as the primary wound has healed and the tissues are free from induration.Primary suture proved an unreliable operation, although some good results were seen.There are important technical reasons why secondary suture is more satisfactory.If, as is often the case, there has been intraneural damage it is much easier to recognize it some weeks after the injury than at the time, because it reveals itself as a palpable and, on section, visible zone of intraneural fibrosis.The resection can be planned accordingly.Furthermore, the epineurium becomes thickened after the injury, and after a few weeks is an ideal structure for holding fine sutures.Most of the repairs reported were secondary.Where there is associated damage to tendons it is best to repair them at the time of injury and simply to approximate the severed nerves.When mobilization of the digits is well advanced secondary suture of the nerves is performed without disturbance of the tendons, which, at the wrist, lie on a deeper plane, and continued movement of the fingers has no adverse effect on the nerve suture.