J Brachial Plex Peripher Nerve Inj 2013; 08(01): e5-e7
DOI: 10.1186/1749-7221-8-3
Research article
Cáceres et al.; licensee BioMed Central Ltd.

Dissection of intercostal nerves by means of assisted video thoracoscopy: experimental study[*]

Juan Pablo Cáceres
1   Centro Médico Teknon, Barcelona, Spain
,
Santos Palazzi
1   Centro Médico Teknon, Barcelona, Spain
,
Jose Luis Palazzi
1   Centro Médico Teknon, Barcelona, Spain
,
Manuel Llusá
2   Faculty of Medicine, Barcelona, Spain
,
M Sanz
3   Department Experimental Surgery, Hospital Gregorio Marañón, Madrid, Spain
,
S Varci
1   Centro Médico Teknon, Barcelona, Spain
› Author Affiliations

Subject Editor:
Further Information

Publication History

25 March 2012

02 December 2012

Publication Date:
25 September 2014 (online)

Abstract

In total brachial plexus preganglionic lesions (C5-C6-C7-C8 and T1) different extraplexual neurotizations are indicated for partial motor function restitution. Mostly for the flexion of the elbow. Neurotization with intercostal nerves (ICN) to musculocutaneous nerve has been known and accepted during many years with different results 2 - 5. The customary technique as described by various authors is carried out by means of a large submammary incision to harvest three or four intercostal nerves ([Figure 1]). Then are connected by direct suture or grafts to the musculocutaneous nerve or its motor branches 6 - 7. In this article the authors described the possibility of dissection intercostal nerves by means of assisted video thoracoscopy. (VATS-videdo assisted thoracic surgery).

*This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


 
  • References

  • 1 Bolouedine M, Allieu Y. Intercostal nerve transfer classification. Chir Main 2001; 20 (2) 136-7 10.1016/S1297-3203(01)00028-2 11386172
  • 2 Kawabata H, Shibata T, Matsui Y, Yasui N. Use of intercostal nerves for neurotization of the musculocutaneous nerve in infants with birth-related brachial plexos palsy. J Neurosurgery 2001; 94 (3) 386-391 10.3171/jns.2001.94.3.0386
  • 3 Malessy MJA, Thomeer RTW. Evaluation of intercostals to musculocutaneous nerve transfer in reconstructive brachial plexus surgery. J Neurosurg 1988; 88: 266-271
  • 4 Terzis JK, Papakonstantinou KC. The surgical treatment of brachial plexus injuries inadults. Plast Reconstr Surg 2000; 106: 1097 10.1097/00006534-200010000-00022 11039383
  • 5 Bolotin G, Lazarovici H, Uretzky G, Zlotnick AY, Tamir A. Saute Mthe efficacy of intraoperative internal intercostal nerve block during video-assisted thoracic surgery on postoperative pain. Ann Thorac Surg 2000; 70 (6) 1872-1875 10.1016/S0003-4975(00)01757-4 11156086
  • 6 Gu MD Yu-Dong, Ma MD Jian-Jun. A comparative study of nerve reconstruction techniques in phrenic nerve transfer for treatment of brachial plexus root avulsion injuries. Hand Surg 1997; 2: 25-33 10.1142/S0218810497000057
  • 7 Shi QL, Gu YD. A cadaveric study of intrathoracic harvesting of phrenic nerve Ander endoscope. Chin J Hand Surg 1999; 15: 104
  • 8 Wen-Dong X, Gu Yu-Dong, Xu Jian-Guang, Tan Li-Jie. Full-Length phrenic nerve transfer by jeans of video-assisted thoracic surgery in trating brachial plexos avulsion injury. Plastic and recosntructive surgery 2002; 104-109
  • 9 Frandson & Spurgeon. Anatomía y Fisiología de los animales domésticos. Interamericana. Interamericana-McGraw-Hill; Mc Graw-Hill: 1995: 560 22772081
  • 10 Huerta MC, Villazon O, Acevedo A, Gonzalez M, Moscoso B. Ventilación mecánica selectiva y manejo anestésico en cirugía toracoscópica videoasistida. Asociación Mexicana de cirugía endoscópica 2001; 2: 87-96
  • 11 Sack WO. Essential pig anatomy. Veterinary Textbooks; Ithaca. New York: 1999
  • 12 Smallwood JE. In Saunders WB. A guided tour veterinary anatomy: domestic ungulates and laboratory mammals. W.B. Saunders Company; Philadelphia: 1992. vii, 390 p. ill., 27 cm