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J Reconstr Microsurg 1985; 1(3): 197-200
DOI: 10.1055/s-2007-1007074
ORIGINAL ARTICLE

© 1985 by Thieme Medical Publishers, Inc.

Surgical Treatment of Actinic Brachial Plexus Lesions: Free Microvascular Transfer of the Greater Omentum

Giorgio Brunelli1 , Francesco Brunelli2
  • 1Clinica Ortopedica, Facoltá di Medicina dell'Universitá Brescia, Italy
  • 2Cellatica, Brescia, Italy
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Publication History

Accepted for publication 1984

Publication Date:
08 March 2008 (online)

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ABSTRACT

Actinic brachial plexus lesions after mastectomy have been treated in 67 cases. Thirty-nine cases have been operated on, 31 of which by means of a free microvascular transfer of the greater omentum. Indications and contraindications of the procedure are discussed, as well as the types of anatomic-pathologic lesions that have been found, and the surgical technique that has been modified and improved over time is presented. Results indicate that free microvascular greater omentum transfer following neurolysis is currently the best method for relief of pain.