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    • Ascension Neurolac
     

    Surgical Technique

    If necessary, place sterile Neurolac in 37C saline water for a few minutes to reach optimal flexibility.

    Cut Neurolac to size needed to bridge a maximum 2 cm gap allowing 5 mm on each side for nerve insertion. Nerve stumps should be inserted 3-5 mm into the tube ends.

    The use of a cutting needle and Ethilon 8.0-10.0 sutures are recommended. Place one or two sutures on each end of the tube as shown at right.

    Optimal Healing

    The Neurolac Nerve Guide is indicated for reconstruction of a peripheral nerve discontinuity.Neurolac provides guidance and protection to regenerated axons and prevents ingrowth of fibrous tissue into the nerve gap during nerve regeneration from the proximal to the distal nerve stump of the transected nerve.



    Tension-less nerve repair offers optimal nerve healing. There is no need for autologous transplants which eliminates donor site morbidity. Neurolac is designed to prevent kinking and collapse. Patient comfort is increased, and early flexion of joints is feasible.

    Clinically Tested

    The performance and safety of the Neurolac Nerve Guide has been evaluated in a randomized, multicenter study comparing it to end-to-end repair and autologous grafting.*

    Bioresorbable

    Neurolac is manufactured from 100% micro-biologically safe synthetic material. Degradation of the Neurolac Nerve Guide occurs through hydrolysis leading to gradual reduction of molecular weight. The Neurolac retains its initial mechanical properties up to 10 weeks providing support and protection to the healing nerve. Whereafter, rapid loss of mechanical strength and gradual mass loss occurs. The final degradation products, lactic acid and -hydroxyhexanoic acid, are resorbed, metabolized and excreted by the body. Studies show that the Neurolac Nerve Guide has been resorbed within 16 months.*


    * Bertleff M, Meek M, Nicolai J; “A Prospective Clinical Evaluation of Biodegradable Neurolac Nerve Guides for Sensory Nerve Repair in the Hand”, The Journal of Hand Surgery, May 2005, Vol. 30A/No. 3, 513-518.

    Neurolac is produced by Polyganics BV, The Netherlands.