Peripheral Nerve Surgery✦ in Pune
(Diagnostic Nerve & Muscle Biopsy, Schwannoma Enucleation & Microsurgical Reconstruction)
Diagnostic Sural Nerve & Skeletal Muscle Biopsy, Schwannoma Enucleation & Microsurgical Epineural Grafting
Peripheral nerves are the body’s delicate biological wiring, transmitting motor commands to muscles and carrying sensory feedback from the skin. Peripheral nerve disorders—ranging from unexplained neuropathies and myopathies requiring diagnostic biopsy, to painful nerve sheath tumors (schwannomas and neurofibromas) and traumatic nerve lacerations—require super-specialized microsurgical expertise. Dr. Chintan Gujarathi utilizes operating loupes and high-power operating microscopes to perform delicate nerve procedures. Whether harvesting diagnostic sural nerve and muscle biopsies following strict neurologist protocols, intracapsularly enucleating schwannomas while preserving adjacent functional nerve fibers, or performing tension-free 9-0/10-0 epineurial nerve grafting, patient neurological function and comfort remain paramount.
Operated by Dr. Chintan Gujarathi (MCh Plastic Surgery, Tata Memorial Hospital Fellow) at accredited tertiary centers (Ruby Hall Clinic, Sassoon Rd & Manipal Hospital Kharadi), utilizing sub-millimeter precision, concealed micro-incisions, and advanced tissue-handling for natural, permanent outcomes.
20x Micro — Magnification
Operating microscope precision
Zero Deficit — Schwannoma Shelling
Spares functioning fascicles
Fresh Tissue — Diagnostic Biopsy
Teased-fiber & EM protocol
1 mm/day — Axon Regeneration
Tension-free micro-conduit
Surgical Approaches & Precision Techniques✦
Sural Nerve & Vastus/Deltoid Muscle Biopsy
Precise diagnostic tissue harvesting for neuropathies, vasculitis, and muscular dystrophies sent fresh for specialized electron microscopy & teased-fiber study.
Your Healing Journey & Care Guide✦
A straightforward clinical guide to what to expect and how to care for your results.
Immediate Day-Care Discharge
Walk home safely 1 to 2 hours after surgery. Mild localized soreness well controlled with simple paracetamol.
Elevate the operative arm or leg on pillows while resting to prevent post-operative swelling.
Dressing Change & Biopsy Report Review
Incision is cleanly healed. Review at Ruby Hall Clinic or Manipal Hospital Kharadi.
For sural nerve biopsies, temporary mild numbness over the outer border of the foot is normal and gradually shrinks.
Full Mobility & Sensory Retraining
Normal joint flexibility. Any localized surgical stiffness completely clears.
Keep scars protected with SPF 50+ sunscreen when exposed to sunlight to ensure faint hairline healing.
Axonal Re-innervation Progress
Regenerating nerve fibers advance at ~1 mm per day (~1 inch per month) through the repaired epineural conduit.
Patience is key: nerve fibers regenerate slowly and steadily, with progressive sensory improvement continuing up to 18 months.
Recommended Best Practices (Do's)
- Keep the surgical dressing clean, dry, and protected from water during the first 7 days.
- Elevate your operative hand or foot on pillows while resting to minimize throbbing.
- Follow up promptly to discuss the formal neuropathology biopsy report with your neurologist.
- Perform prescribed gentle finger or toe range-of-motion exercises every few hours.
Precautions & Safeguards (Don'ts)
- Do not apply direct heat packs or ice directly against skin over the operative site.
- Do not engage in heavy weight lifting or forceful gripping for 3 weeks after nerve tumor removal.
- Do not peel healing wound crusts or scratch incision edges.
- Do not miss scheduled electrodiagnostic (EMG/NCV) follow-up assessments.
Frequently Asked Questions✦
Essential clinical answers on surgical safety, scars, and recovery in Pune.
Schedule Your Consultation with Dr. Chintan Gujarathi
Available for personal clinical consultations and surgical assessment at premier accredited tertiary hospitals in Pune: