SHTOFFELYA OPERATION

From Big Medical Encyclopedia

SHTOFFELYA OPERATION (A. Stof-fel, is mute. the surgeon, 1880 — 1937) — a kind of a neurotomy; crossing of motive ways of peripheral nerves of extremities in the nerve or motive branches before entry into a muscle for the purpose of interruption of a pathological motive impulsation.

ShTRAUB is offered by Shtoffel in 1911 491


Operation was applied at Littl's syndrome (see. Children's paralyzes), spastic hemiparaplegias (see the Paraplegia), muscular hypertensions (see the Tone) and an athetosis (see). According to the scheme developed by Shtoffel after an exposure of the corresponding nerve made a partial resection (from a third to a half of a bunch) motive fibers (Shtoffel I). However this operation yielded bad results: the recurrence of spastic states caused by regeneration of nerves and also that the loop-shaped course of nervous trunks causes stay in different points of section of a nerve (sometimes far remote from each other) the fibers innervating the same groups of muscles was often observed. All this forced Shtoffel and other surgeons to carry out a full or partial resection of motive branches of nerves before occurrence them in a muscle (Shtoffel II). By this technique motive branches reveal by means of electrostimulation, then resect one or two of those branches, at irritation to-rykh a small current there is the strongest muscular contraction. After suture on a wound extremities improve vicious situation and fix it a plaster bandage. In the subsequent ambassador of removal of a bandage carry out massage, electrostimulation and exercises of extensor muscles and abductors.

In a crust, Sh.'s time of the lake it is practically not applied.

See also Neurotomy.

Bibliography: S t about f f e 1 A. Eine neue Operation zur Beseitigung der spastischen Lah-mungen, Munch, med. Wschr., S.


2493, 1911. G. A. Richter.

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