Leprosy Mailing List – November 28, 2016
Ref.: (LML) Nerve Decompression in Leprosy
From: Marcos Virmond, Bauru, Brazil
Dear Pieter
Let me comment the message by dynamic Dr. Gajete from the Philippines and the very fine reply by Dr. Theuvenet, LML November 26, 2016.
The last relevant incursion of WHO in the field of leprosy surgery (including neve decompression) was the publication of an important book by Dr. H. Srinivasan and Dr. Dinkar D. Palande in 1996 (!) (Essential surgery in leprosy: techniques for district hospitals – WHO/LEP/96.2). I am not sure whether this book is still available or not.
Unfortunately, nerve decompression is an essential procedure that is constantly neglected in leprosy services. The reprint of WHO’s book would be a good contribution as well as any move to offer training to general surgeons willingly to learn how to perform a neurolysis. To some extend it is a simple procedure but requires adequate training, use of magnifying glasses and fine surgical instruments – besides proper indication.
Yes, it is time to put nerve surgery again on the agenda!
With many regards
Marcos
M. Virmond MD PhD
ILSL – head
Bauru - Brazil
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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