Tratamiento de las lesiones de los nervios periféricos. Tendencias actuales del tratamiento quirúrgico

  1. Garrido Gómez, Juan
  2. Hernández Cortés, Pedro
  3. Carriel Araya, Víctor
  4. Lara Guerrero, Fernando
  5. García García, Salomé
  6. Sáez Moreno, José Antonio
  7. Alaminos Mingorance, Miguel
  8. Torres Barroso, Javier
Revista:
Actualidad médica

ISSN: 0365-7965

Año de publicación: 2012

Tomo: 97

Número: 785

Páginas: 45-55

Tipo: Artículo

Otras publicaciones en: Actualidad médica

Resumen

Las lesiones nerviosas son habituales en cualquier medio hospitalario. La alta incidencia de estas lesiones y el elevado número de secuelas asociadas a las mismas las hace un problema de salud pública. Proporcionar un tratamiento satisfactorio con un pronóstico funcional aceptable es aún una asignatura pendiente para la medicina actual. Generalmente, los nervios periféricos se lesionan de forma aguda en el contexto de accidentes de tráfico, heridas por arma de fuego o por arma blanca, amputaciones totales o parciales de cualquier miembro o, simplemente, una herida incisa producida en un ambiente doméstico o laboral. Hoy día las opciones terapéuticas de las que dispone el cirujano para reparar este tipo de lesiones son muy limitadas con una recuperación funcional lenta y exigua en un porcentaje elevado de casos. La progresión de las ciencias médicas y biológicas ha permitido el desarrollo de nuevas técnicas y métodos de Ingeniería Tisular que proyectan avances en la terapia para este tipo de lesiones nerviosas que hasta ahora, se han asociado a una recuperación insatisfactoria, y a veces inexistente.

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