Dermatosensory Peripheral Nerve Interfaces: Prevention of Pain Recurrence Following Sensory Neurectomy.

Hand Clin · Aug 2021 · Review

Hart SE, Brown DL

Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School

Hand & Upper Extremity

SUMMARY — THE REDUCTIONThis review describes dermatosensory peripheral nerve interfaces, a technique wrapping transected sensory nerve ends in dermis to prevent neuroma pain recurrence after sensory neurectomy.
Abstract, as published

Chronic pain is a significant health care problem. Many patients' pain can be linked to a neuropathic origin, diagnosed with a thorough history and physical examination, and confirmed with a diagnostic nerve block. There are new procedures designed to address neuropathic pain from symptomatic neuromas by providing physiologic targets for regenerating axons following neurectomy. Dermal wrapping of the end of a sensory nerve following transection, a technique called dermatosensory peripheral nerve interface, may provide an optimal environment to prevent neuroma pain and reduce chronic neuropathic pain.

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