Application of peripheral nerve conduits in clinical practice: A literature review

Publication date: Available online 2 July 2018Source: Neurologia i Neurochirurgia PolskaAuthor(s): Patrycja Chrząszcz, Kamil Derbisz, Krzysztof Suszyński, Jan Miodoński, Robert Trybulski, Joanna Lewin-Kowalik, Wiesław MarcolAbstractUnderstanding the pathomechanisms behind peripheral nerve damage and learning the course of regeneration seem to be crucial for selecting the appropriate methods of treatment. Autografts are currently the gold standard procedure in nerve reconstruction. However, due to the frequency of complications resulting from autografting and a desire to create a better environment for the regeneration of the damaged nerve, artificial conduits have become an approved alternative treatment method. The aim of this mini-review is to present the nerve scaffolds that have been applied in clinical practice to date, and the potential directions of developments in nerve conduit bioengineering.Articles regarding construction and characterization of nerve conduits were used as the theoretical background. All papers, available in PubMed database since 2000, presenting results of application of artificial nerve conduits in clinical trials were included into this mini-review.Fourteen studies including ≤10 patients and 10 trials conducted on>10 patients were analyzed as well as 24 papers focused on artificial nerve conduits per se. Taking into consideration the experiences of the authors investigating nerve conduits in clinical trials, it is essential to point out the...
Source: Polish Journal of Neurology and Neurosurgery - Category: Neurosurgery Source Type: research