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this looks ugly

Excellent video!

Such a complex operation done meticulously. Thank you experts.

Thanks

kindly help to avoid the PIN nerve thank you

Oh man I always wondered how much damage there would be if the ulnar nerve was severed

Thank you very much

Thank you so much for this video, I got ideas as same case so I do know how the procedure done and happier that it was successfully done. My neurosurgeon is Chinese and she became director of Neurological department, busiest surgeon and I am proud to those Neurosurgeon that successfully done and patient can utilize again the paralyzed hand and arm. God bless all expert on their profession. Patient needs a good doctor ❤️🙋‍♀️🇮🇹

How I wish to this surgery ASAP. I have devastated accident and brachial plexus compression, stenosis C3 till T4. My C3 to C5 replaced already a Titanium Phyramesh. The rest of fractured/damaged nerve still here into my cervical spine and left shoulder, paralyzed left arm. A huge Mistake the Orthosurgeon to touch not his path and cut the extremity nerve and replaced smaller central venous catheter but the stenosis, BPcompression still seriously injured. Until this time I am suffering from hell worsening condition. ASAP that I need to have this surgeries. I can’t sleep even I am taking relaxation. Totally damaged the nerve to sleep. When I nap more or less 20mins and I am happier despite longing of oxygen. CONTRAMAL 200 mg plus paracetamol this time. I pray fervently one day It’s my call for delicate surgeries. Hope and faith.❤️🙋‍♀️🇮🇹

The best video on this topice i have ever watched.Sooo helpful

Nice video

Why so extensive dissection , what was disease ?

Excellent!

Amazing thanks

.....helvetets smärta ...innan operationen .....😢...flippar ur....✍️❤️✌️🇫🇴🚂🥨🤮😭😭😭😭

Thank you so much sir 😊 very much useful technique...

excellemt demonstration i wonder why did not you use surgical glue and then sutured in epiperinural fashion rather than fasciular repaire in cable grafting ?

I have CRPS from wound that partially severed my perennial nerve left leg in 1990s Need help VA Dr.s have changed my meds and left me bedridden for six months, etc.

Excellent, concise and comprehensive, Many thanks,

My son is like that very informative nice video

thank you , very helpful video allowing me to be more confident as a approach hand lacerations as an MD

V nice and helping video brother Thanks

Watchi g these is kind of cool. I shattered my elbow long time ago. I broke my growth plate funny bone, compound fracture of humerus, radius and unla were both broke off too. Looked like a broken cookie and Dr said. He said I could lose my arm if I didn't go right into surgery. Gave me a shit of morphine in my but cheek amd wheeled me away. (My arm was twisted, so blood supply was kinda weak). Fell off my bike and tried to break my fall and my left arm just folded over on itself. Had 2 pins and a cast for 7 weeks. Had to have pin removal surgery. That was 24 years ago. I'm starting to feel soreness and pain on the inside portion of my elbow. The area it broke in. It's been good until now. Lol

😮😮😮

As a patient if you have recovered from a hand laceration and have nerve damage or a severed tendon after recovery is it necessary to have exploration done or is it always worth it?

I suffer from Parsonage-Turner-Syndrome and a nerve transfer may be in my future.

Thx 🙏

V

22:00 Ground Hog’s Day on repeat! I’ve been warrior-ing CRPS since 2012 and this is all I can say to someone that just can’t get there head around how can someone survive horrid pain 24/7/365. The Ground Hog’s Day movie, but literally every singe minute of every day. There is no break from the pain.

What a curveball after he took off the nail

Thank you for these pearls so difficult to find on the net (and even in books' chapters regarding microsurgery basics)!❤

Thankyou, those photos are very helpful. My blood felt like cement moving round the burning hornets nest. My wrist was not set properly. First they put a heavy half cast on the breaks for 11 days being in a rural area. They then set it w no anaesthetic and left it unaligned. OMG what a nightmare. I went to another state to see a surgeon who had to do an osteotomy on radial and osteotomy on the ulnar, excising the tip and shorten the ulnar in the forearm. Definitely helped but still not quite right. Ketamine definitely helped me too.

Severed my ulnar nerve. I could have used this !!!

I'm loving it.... Very much appreciated

Best technique avoids stiffnes , second procedure for removal of pins and retention of native biology. Thanks for sharing

Did she recovered now?

Excellent video What's your experience with lateral approach?

Can you get CRPS after a spinal fusion?

I'm in rural Kentucky. A doctor refused to change my cast and caused CRPS. Now I have been left flapping in the breeze. The pain is unbearable sometimes. As long as I have dogs, I will fight. But every single day I either want to die or cut my hand off. To top it off, I can't seem to get ANY help at all. I'm given drugs that do not work and the big blow off. I will never trust another doctor as long as I live, which may not be that long.

Thank you for the info. Helpful, as learning the ortho doctors do not treat it, and shuffle you around to other doctors who don't have much knowledge.

why was sural nerve grafting chosen instead of transferring the sensory branches of the ulnar nerve to the median nerve, considering that the motor branch had already been transferred to the AIN, what is the benefit of this choice for the patient?

I have heard ketamine in anesthesia helps prevent CRPS from getting worse from surgery.

Wrong video...never needed such extensive exposure😢

Can't we, just, use the correct grammar for a change? We used to say, "To each his own". Feminists have changed all that.

Superb video. Very lucid indeed.

excellent video, thank you!

Someone tell me how bad this hurts ..

I have crps in my left food for years the docs made me out to be crazy. And a bone scan said I have OA. it’s been 4 years nothing has changed it’s for sure crps

I’m so glad more Doctors are talking about CRPS, I’m going on almost 17 years since diagnosed, upper extremities, started with crushed injury to my right hand. I have done every treatment available for condition, the way I describe mine feels like lava, the burning is so intense and the symptoms are so debilitating, when I get a really bad flair my brain feels like the filaments on a light bulb vibrating really high and very fast I can hear it inside my head, see very bright flashes that look like as if they coming out from my eye lids and then I hear a loud click my whole body jerks I go completely blank on my brain and my brain slowly stars booting up again slowly, lots of brain fog and disorientation, my symptoms sometimes are mildly under control, they always comeback with vengeance, I had a spinal column stimulator that was removed after 5 years, the incisions scar tissue burns now, I get put under when I get epidurals and after a week the area they injected burns and throbs for months, if I get a mammogram the pain last for month, blood work the area they put the needle in feels as if limb is falling off from the pain, mine keeps worsening and it has travel to my feet. I just started a treatment with a thera-laser, I had 6 sessions so far and it help with my spine, my spine always felt as if lava was the spinal fluid flowing in it, is no burning like that since first treatment but the other symptoms continue, my skin burns, also extremities get freezing cold, to many symptoms to list. The worst of my complains is that I don’t know if I’m sleeping or awake, I smile when I’m with people but my insides are constantly screaming so loud from the pain I can hear a word anyone else is saying, that’s life every day for someone with CRPS. I love that more doctors are making videos and there’s more awareness about it and like I say to my pain management and any physician I get a chance to tell, when I said you have no idea what this is like or feels like, I mean it, and other patients with CRPS will agree. I have 4 children many decades ago, 2 without epidurals, labor pain will be a walk in the park.

"what we have here on the first layer is the substianius FAT lol yeah you humans and your fat