War and Gunshot Wound Injuries of the Peripheral Nerves (original) (raw)

Nerves and Nerve Injuries, 2015

Abstract

Abstract Peripheral nerve surgery has developed from the experiences of war. This development was made possible only because of advances in the treatment of the wound, vascular injury, and skin loss. Current warfare is characterized by the increased survival of casualties despite their catastrophic, predominantly explosion-related limb injuries. The incidence of associated skeletal and vascular injury and of severe muscle and skin loss in individuals is unprecedented. Every small gain in function is important in the rehabilitation of these patients. Work at the War Nerve Injury Clinic is integrated with the rehabilitation process. It provides early and accurate diagnosis and prognosis and enhances recovery by further operations that prove necessary in 50% of the patients seen. The most common indication was neuropathic pain, the response of pain to treatment, and in particular, generally good neurostenalgia.

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