Neurectomy

Neurectomy ( lat for 'nerve incision') is the surgical severing of a peripheral nerve ( denervation ). In contrast to a neurotomy , a section of the nerve is cut out. It is considered the last resort to remedy chronic pain conditions when the cause cannot be eliminated. A disadvantage of this method is that it also prevents trophic functions of the nerve on the tissues of its supply area. In addition, the new outgrowth of the axons can restore the innervation. In addition, neuromas form at the severing site , which in turn can cause pain.

A neurectomy is mainly performed on horses with advanced podotrochlosis . In gynecology , neurectomy of the superior hypogastric plexus (presacral neurectomy) is the (controversial) last resort for non-treatable abdominal pain or endometriosis . In ear, nose and throat medicine, a neurectomy of the superior vestibular nerve is sometimes performed to treat vertigo . Neurectomy of the musculocutaneous nerve is used when the arm has no function and the elbow joint is contracted .

See also

• Neurotmesis

Individual evidence

1. ↑ Ludo J. Hellebrekers: Pain and pain therapy in animals . Schlütersche, 2001, ISBN 9783877065907 , p. 123.
2. ↑ Kim Burchiel: Surgical management of pain . Thieme 2002, ISBN 9783131259813 , p. 649.
3. ↑ Serban D. Costa: The gynecology . Springer, 2nd edition, 2006, ISBN 9783540256649 , p. 308
4. ↑ Eberhard Biesinger: Vertigo . Volume 27 of ENT practice today. Springer, 2007, ISBN 9783540474432 , p. 81.
5. ↑ Bernard F. Morrey, Joaquin Sanchez-Sotelo: The elbow and its disorders . Elsevier Health Sciences, 4th ed. 2009, ISBN 9781416029021 , p. 1007.

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