Techniques of Nerve Repair

(a) Epineural suture

• By far the most common repair in smaller peripheral nerves

• Trim edges perpendicular to long axis of the nerve

• Mobilize proximal and distal nerve segments

• Use microscope to visually enhance precision

• Use 180-degree technique to guarantee maximal coaptation

• Avoid tension at the neurorrhaphy site at all costs

• Use the smallest suture possible to achieve tension-free, stable coaptation