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Nerve Repair

Nerve Repair

Nerve repair surgery reconnects severed peripheral nerves in the hand (Radial, Ulnar, Median) using direct repair, grafts, or transfers to restore sensory and motor function.
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Key Information

Nerve repair surgery of the hand is a complex procedure for torn or severed nerves, which are essential for both sensory perception and motor control of the fingers and hand, with damage leading to loss of sensation, weakness, or impaired movement.
The three main nerves of the hand are the Radial Nerve (extending wrist/fingers, sensation on back of hand), Ulnar Nerve (fine motor, sensation on little finger side), and Median Nerve (thumb/finger flexion, sensation on palm side).
Neurotmesis is the most severe nerve injury (completely severed nerve) that requires surgical intervention, which involves the surgeon reconnecting the nerve using a high-magnification microscope via End-to-End Repair, a Nerve Graft, or a Nerve Transfer.
To ensure a successful outcome, the procedure (typically 1 to 3 hours under general anesthesia) requires the nerve fibers to be precisely aligned under the microscope, followed by a comprehensive and progressive rehabilitation programme.

About Nerve Repair

Nerve repair surgery of the hand is a complex and delicate procedure performed to reconnect torn or severed peripheral nerves. The nerves in the hand are essential for both sensory perception and motor control, enabling precise movement and function of the fingers and hand.

When these nerves are damaged—whether through trauma, compression, or laceration—they can lead to significant loss of sensation, muscle weakness, or impaired movement. Surgical repair aims to restore nerve continuity, allowing for the gradual return of function and sensation.

  • Radial Nerve – Provides sensation to the back of the hand, the thumb, and the back of the index finger. It also helps extend the wrist and fingers.
  • Ulnar Nerve – Provides sensation to the little finger, half of the ring finger, and the inner (ulnar) side of the palm. It also controls fine motor movements of the hand.
  • Median Nerve – Provides sensation to the middle finger, half of the index and ring fingers, and the outer (radial) side of the palm. It plays a key role in thumb and finger flexion.

  • Neuropraxia – A mild injury where the nerve is stretched but remains structurally intact. There is temporary sensory or motor dysfunction, often with full recovery.
  • Axonotmesis – A moderate injury where the internal nerve fibers are damaged while the outer sheath remains intact. This causes temporary loss of function with a longer recovery period.
  • Neurotmesis – The most severe form, in which the nerve is completely severed, resulting in a total loss of motor and sensory function. Surgical intervention is necessary.

  • End-to-End Repair – The two ends of the severed nerve are directly sutured together.
  • Nerve Graft – A segment of another nerve (usually taken from the patient’s leg) is used to bridge the gap in the damaged nerve.
  • Vascularized Nerve Graft – Similar to a nerve graft but includes its own blood supply, used in cases with compromised circulation, such as burns.
  • Nerve Transfer – A healthy nerve is rerouted to restore function in the area of the damaged nerve.

Due to the complex structure and function of hand nerves, early diagnosis and appropriate surgical repair, followed by targeted rehabilitation, are essential for optimizing recovery of both sensory and motor function.

Nerve injuries in the hand can lead to loss of sensation, function, or both. While some nerve injuries may heal on their own, others require surgical intervention. Timing for nerve repair depends on the nature of the injury:
– Complex injuries: Nerve repair is typically done 3 to 6 weeks after the injury to allow better outcomes.
– Isolated nerve injuries: Surgery may be performed sooner to increase the chances of full recovery.

If a nerve is cut or severed, it may be reconnected to its other end. In cases where this isn’t possible, a nerve graft may be performed, using a healthy nerve taken from another part of the body to bridge the gap.

The specifics of nerve repair surgery vary depending on the type of repair—direct repair, nerve graft, or nerve transfer—as well as the location and severity of the injury.

In most cases, the procedure is performed under general anesthesia and may take between 1 -3 hours.

  • Makes one or more incisions to access the site of the injury and evaluate the extent of nerve damage using a high-magnification surgical microscope.
  • Removes any severely damaged or scarred nerve tissue from the ends of the injured nerve.
  • Reconnects the nerve using the appropriate method: direct end-to-end repair, nerve grafting, or nerve transfer.

To ensure a successful outcome, the nerve fibers must be precisely aligned under the microscope, allowing for optimal regeneration and functional recovery.

Due to the complex nature of nerves it is essential to undergo a comprehensive and progressive rehabilitation programme that focuses on restoration of sensory and motor function.

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Doctors performing Nerve Repair

All procedures at GMS Cyprus are performed by internationally recognized surgeons from Israel, the EU, and the US. Each selected for their exceptional qualifications, surgical expertise, and commitment to patient care.

Our doctors are leaders in their fields, with extensive experience in advanced techniques and consistently high success rates. They work closely with our medical board and patient support team to ensure each treatment is safe, effective, and tailored to the individual.

The GMS Cyprus Promise

We are committed to providing every patient with access to world-class surgeons, personalized care, and unwavering support throughout their medical journey.

We carefully select our surgeons based on international standards, clinical excellence, and patient outcomes. We believe that medical travel should be stress-free, transparent, and guided by people who genuinely care. Our promise is to treat you with dignity, protect your privacy, and give you peace of mind every step of the way.

How it works

Step 1
Submit a consultation request
Fill out a short form and let us know your medical concern. A coordinator will contact you within 48 hours.
Step 2
Share Your Medical History
Send your relevant documents (scans, reports, etc.). We’ll help you prepare them and handle translation if needed.
Step 3
Receive your medical proposal
Receive a detailed proposal, including surgeon profile, recommended treatment, estimated costs, and recovery plan.
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Testimonials

Ilanit Boker

Ilanit Boker

I happily recommend the services of the GMS team. I needed a unique procedure which is not performed in Israel and I turned to them. 

Over a telephone conversation with GMS representative Roy, I felt caring attention and confidence that he would help in everything. He accompanied us throughout the entire process, before the flight and even after. 

In addition to Roy, we would like to sincerely thank Oriya, our allocated Israeli speaking patient coordinator of the company in Cyprus. 

Even before our departure, Oriya was in touch with us helping with any issues and made sure that we arrived fully prepared – taking into account the smallest details; even to the point of finding out our food preferences, and despite the late hour of our arrival at the hotel, she ensured an exquisite meal was waiting for us in the room. Oriya greeted us upon arrival and truly made us feel like we were her personal guests. She accompanied us throughout the entire day of the operation – attentively, with endless care and continued patience.

I felt like I had a good friend with me in the hospital. This kind of treatment doesn’t happen very often… At the end of the day we parted, hugging each other, and Oriya gave recommendations on where to go and what to do in the time remaining before returning home.

I just don’t have enough words to thank GMS and Oriya for everything. I can only recommend with a reassurance that those who need it should use their services.

Almog Brand

Almog Brand

When I was looking for information about palm surgery, I found many recommendations about Dr. Amir Oron. After a consultation with Dr. Amir, I was surprised to learn that my health insurance does not guarantee that he will be the surgeon to perform the procedure.

That is when I contacted GMS, who explained how I could have the surgery performed by the physician of my choice – which gave me peace of mind. It is very important for me to share my experience, as the service I received through GMS exceeded any similar experience in Israel: From the beginning I was assigned a GMS representative from Israel, who explained in detail what my experience would be and answered all my questions about the operation and the treatment process. (Thanks, Roy!)

All I had to do was fill out the application form. GMS representatives took care of everything themselves!

They contacted the insurance company on my behalf and even had them check the status of the application until the financial commitment for the surgery was received. We agreed with on the surgical date, booked the flights at a convenient time for me, and also dealt with the hotel reservation. The GMS staff even reviewed the menu and took any dietary restrictions into consideration on my behalf.

We were picked up from the airport in Larnaca, Cyprus where we met the wonderful Oria, who accompanied us throughout the entire visit and took care of every detail; from registration to preparation for the operation.

This is essentially a VIP service that made the entire experience relaxed and stress-free.
The assigned coordinators continued caring after my return to Israel. They were interested in my recuperation post-operatively and also ensured all financial matters were dealt with; all this, by the way, without any commissions or payouts on my part, but directly with my insurance.
In a word – an amazing experience!
In short – I recommend it!

Thank to GMS, thank you Roy, thank you Uriah and thank you Dr. Oron.

Nirit Shortz-Raphael

Nirit Shortz-Raphael

I do not even know where to start!!
Overall, the service exceeded all my expectations!

Roy – thank you for your patience, quick responses (minutes!), availability, caring and clear explanations! You are inimitable! Oriya – you are amazing! Thank you for every smile, hug, help, guidance, explanation… really! You are simply amazing!

Every time I was asked by friends and family about the surgery, I immediately started talking about your amazing service! I felt warmth and love, and everyone who was with me felt the same!
We never stop talking about you, and really, only good things!

You have entered our hearts!
Thank you very much for everything! I hope to see you in the future, under different circumstances.

Nadav Ben-Ezer

Nadav Ben-Ezer

When one thinks of “Medical Operation” overseas, the last thing that comes to mind is a “Great Experience”, but this is exactly what I have experienced, going through a prostate removal procedure via GMS Cyprus. With their professional and compassionate approach, the GMS Cyprus team provides to the confused and worried patient a complete transparent VIP envelop, which takes care of all the logistics involved in “Medical Tourism” for the patient and their escort, as well as assembling a world class international medical team and medical facilities suitable to treat the medical diagnosis at hand.

From the first time the medical situation was diagnosed, and the first contact was made, the GMS team was there to remove the hassle and understand my concerns and worries about the medical issue and being far from home, and they handled every detail of the logistics of travel, insurance company requirements and medical preparations. From first arrival at the luxurious hotel, assigned to the first night and for my personal escort, the GMS management, Udi and Clair, has treated me as family away from home and personally came to greet me and attend firsthand to all my needs and requests. To top it all, they assigned their own personal escort, the wonderful Aia, which was available 24/7 and door to door to handle any need and detail and helped interface with the local hospital team.

I want also to recommend the choice of the hospital at Limassol, which is modern and clean, and of course GMS team have in advance reserved a private and spacious room and nominated a local doctor, which was familiar with my case and participated in the treatment and which came often to check my condition and parameters.

To summarize, I would not go so far as to wish such treatment to anybody, but if you must go through the medical procedure, the VIP treatment provided by GMS is a legitimate alternative, combining easy logistics, professional medical treatment by your own doctor, modern hospital, relaxed overseas experience and personal compassionate escorting to ease and sweeten the experience.

Dorit

Speak with GMS Cyprus care team - Medical Tourism in Cyprus

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We will analyze your situation and connect you with the best surgeons from GMS network.
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Speak with GMS Cyprus care team - Medical Tourism in Cyprus

Free consultation

Our team is available to assist you on your path to health. To be able to help you, we need to know more infromation about you and your case.

We will analyze your situation and connect you with the best surgeons from GMS network.
Fill in the form