Neurectomy
| Neurectomy | |
|---|---|
| Specialty | Neurology |
A neurectomy, or nerve resection is a neurosurgical procedure in which a peripheral nerve is cut or removed to alleviate neuropathic pain or permanently disable some function of a nerve. The nerve is not intended to grow back. For chronic pain it may be an alternative to a failed nerve decompression when the target nerve has no motor function and numbness is acceptable.[1] Neurectomies have also been used to permanently block autonomic function (e.g. excessive sweating in hands[2] or involuntary muscle movement causing cramps[3]), and special sensory function not related to pain (e.g. vestibular nerve dysfunction causing vertigo[4]).
A temporary nerve block with an anesthetic is usually performed before surgery to confirm the diagnosis of neuropathic pain.[1] Risks include numbness, neuroma, and complications due to lack of innervation.
- ^ a b Lipinski LJ, Spinner RJ (October 2014). "Neurolysis, neurectomy, and nerve repair/reconstruction for chronic pain". Neurosurg Clin N Am. 25 (4): 777–87. doi:10.1016/j.nec.2014.07.002. PMID 25240664.
- ^ Vannucci F, Araújo JA (April 2017). "Thoracic sympathectomy for hyperhidrosis: from surgical indications to clinical results". J Thorac Dis. 9 (Suppl 3): S178–92. doi:10.21037/jtd.2017.04.04. PMC 5392541. PMID 28446983.
- ^ Miller LE, Bhattacharyya R, Miller VM (April 2020). "Clinical Utility of Presacral Neurectomy as an Adjunct to Conservative Endometriosis Surgery: Systematic Review and Meta-Analysis of Controlled Studies". Sci Rep. 10 (1) 6901. Bibcode:2020NatSR..10.6901M. doi:10.1038/s41598-020-63966-w. PMC 7181806. PMID 32327689.
- ^ Alarcón AV, Hidalgo LO, Arévalo RJ, Diaz MP (April 2017). "Labyrinthectomy and Vestibular Neurectomy for Intractable Vertiginous Symptoms". Int Arch Otorhinolaryngol. 21 (2): 184–190. doi:10.1055/s-0037-1599242. PMC 5375706. PMID 28382129.