Optimizing Outcomes in Revision Peripheral Nerve Surgery of the Upper Extremity

Clin Plast Surg. 2024 Oct;51(4):459-472. doi: 10.1016/j.cps.2024.02.012. Epub 2024 Apr 4.

Abstract

Peripheral nerve surgeries for compressive neuropathy in the upper extremity are generally successful. However, cases that either fail or have complications requiring revision surgery are challenging. During revision consideration, surgeons should perform a comprehensive preoperative workup to understand the etiology of the patient's symptoms and categorize symptoms as persistent, recurrent, or new in relation to the index procedure. Revision surgery often requires an open, extensile approach with additional procedures to optimize outcomes. Even with proper workup and treatment, clinical outcomes of revision surgeries are inferior compared to primary surgeries and patients should be well informed prior to undergoing such procedures.

Keywords: Carpal tunnel syndrome; Cubital tunnel syndrome; Nerve compression; Revision peripheral nerve surgery.

Publication types

  • Review

MeSH terms

  • Humans
  • Nerve Compression Syndromes / etiology
  • Nerve Compression Syndromes / surgery
  • Neurosurgical Procedures / methods
  • Peripheral Nerves / surgery
  • Postoperative Complications / surgery
  • Reoperation* / methods
  • Treatment Outcome
  • Upper Extremity* / innervation
  • Upper Extremity* / surgery