Nerve Graft Surgery in Gurgaon

What is Nerve Transfer Surgery?

Nerve transfer surgery is employed when there is a nerve injury leading to total loss of muscle function or sensation. In this surgical approach, less critical nerves are harvested from one part of the body and connected to more vital, damaged nerves to restore function. This rerouted nerve then takes over the role of the damaged nerve. Such surgeries are particularly beneficial for patients with specific types of spinal cord injuries, notably those who have quadriplegia due to damage at the mid-cervical motor level of the spinal cord.

Regarding nerve graft surgery, nearly half of all spinal cord injuries affect the cervical spine, leading to tetraplegia, or paralysis of all four limbs. For individuals with tetraplegia, regaining hand function is often more crucial than bladder control, sexual function, standing ability, or other functionalities. Effective use of the hands is essential for daily activities such as writing, eating, and self-catheterization. Enhancing arm function through nerve graft surgery can significantly enhance the quality of life for these patients.

Nerve transfer in spinal cord injury

The spinal cord is a component of the nervous system. When cells within the spinal cord are injured or damaged, they cannot be repaired. Nerves that exit the spinal cord above the injury site retain the ability to control muscles. Conversely, nerves that leave the spinal cord below the injury site lose their connection to the brain. As a result, the brain is unable to send signals to these nerves to control muscle movements.

Causes of spinal cord injury

• Violent incidents such as stabbings or shootings.
• Striking the bottom of a swimming pool when diving.
• Automobile accidents that impact the neck, back, or chest.
• Falls from considerable heights.
• Injuries to the head or spine.
• Electrical accidents.
• Extreme twisting of the middle portion of the torso.

What are the symptoms of spinal cord injury?

• Impaired ability to walk.
• Complete or partial loss of bladder control.
• Inability to move hands or legs.
• Numbness or a tingling sensation in the extremities.
• Loss of consciousness.
• Headaches.
• Pain and stiffness in the back or neck.
• Abnormal positioning of the head.

Types of Nerve Transfers

Nerve transfers involve rerouting healthy nerves to restore function in muscles that have lost their nerve supply due to injury. There are several types of nerve transfers, each tailored to address specific injuries and restore function in different parts of the body. Here are some common types:

• Motor Nerve Transfers: These are performed to restore motor function to a muscle or group of muscles. A functioning motor nerve from a less critical muscle is redirected to a more crucial muscle that has lost its nerve supply.
• Sensory Nerve Transfers: This type aims to restore sensory function to an area of skin or limb that has lost sensation. A healthy sensory nerve is connected to the sensory pathway of the affected area.
• Mixed Nerve Transfers: These involve the transfer of nerves that have both sensory and motor fibers. They are used to restore both types of functions in areas where complex injuries have occurred.
• Cross-Nerve Transfers: Also known as "cross-facial nerve grafts," these are typically used in facial reanimation procedures to restore facial muscle function, particularly after facial nerve paralysis.
• Distal Nerve Transfers: These involve rerouting nerves at or near the target muscles or sensory areas, usually within the hand or foot. This type of transfer can provide more direct and potentially quicker reinnervation.

How is the treatment performed?

Nerve transfer surgeries are conducted in the operating room under general anesthesia, using neurosurgical methods. The procedure begins with the surgeon making an incision in the skin to expose both the healthy donor nerve and the damaged nerve. Electrical devices are then employed to assess the functionality and condition of these nerves. The healthy nerve is transferred and connected to the injured nerve. This allows the nerves to grow along the pathway created by the previously injured nerve in the spinal cord. After the nerves are successfully joined, the surgeon closes the incisions.

Cost of nerve transfer after spinal cord injury

The cost of nerve transplant or nerve graft surgery in Gurgaon, India can vary depending on the medical facility. Additionally, the expenses associated with nerve transfers following spinal cord injuries can differ based on the complexity of the case. For specific details about your treatment expenses, please feel free to contact us.

Dr. Arun Saroha is recognized as one of the top neurosurgeons in Gurgaon, India. With over 20 years of experience in neurosurgery, he has earned numerous accolades and is among the most distinguished neurosurgeons in both Gurgaon and Delhi. If you are searching for an exceptional neurosurgeon in Gurgaon, your search concludes with Dr. Saroha.