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).