**4. The future in your own hospital**

A final word should be said on how to start, develop, and consolidate a new peripheral nerve unit. This can be a major endeavor that demands continued devotion and long-term commitment. Once you start in this field, first you have to be known and accepted in your own hospital and then in your community. Time and persistence are needed to get the confidence of the referring doctors as well as the respect of the public. A stepwise and cautious attitude is recommended. While good results not always are acknowledged by our colleagues, a bad case can ruin our reputation. Meanwhile, to get the needed equipment and personnel is something that needs continuous negotiation with the hospital administrators; fighting for resources is also demanded by many other members of your own hospital. But with long-term persistence and unrestricted commitment, one usually achieves the goals, as proven by the authors of one of our following chapters.

[5] Dengler NF, Antoniadis G, Grolik B, Wirtz CR, König R, Pedro MT. Mechanisms, treatment, and patient outcome of Iatrogenic injury to the brachial plexus-A retrospective

Introductory Chapter: Brachial Plexus Injuries - Past, Present, and Future

http://dx.doi.org/10.5772/intechopen.81675

7

[6] Dolan RT, Butler JS, Murphy SM, Hynes D, Cronin KJ. Health-related quality of life and functional outcomes following nerve transfers for traumatic upper brachial plexus

[7] Oskay D, Oksüz C, Akel S, Firat T, Leblebicioğlu G. Quality of life in mothers of children with obstetrical brachial plexus palsy. Pediatrics International: Official Journal of the

[8] Felici N, Zaami S, Ciancolini G, Marinelli E, Tagliente D, Cannatà C. Cost analysis of brachial plexus injuries: Variability of compensation by insurance companies before and after surgery. Handchir Mikrochir Plast Chir Organ Deutschsprachigen Arbeitsgemeinschaft Handchir Organ Deutschsprachigen Arbeitsgemeinschaft Mikrochir Peripher Nerven

[9] Pandey N, Gupta D, Mahapatra A, Harshvardhan R. Bed wise cost analysis of in-patient treatment of brachial plexus injury at a Level I trauma Center in India. Asian Journal of

[10] Soldado F, Ghizoni MF, Bertelli J. Thoracodorsal nerve transfer for triceps reinnervation

[11] Babar SM. Peripheral nerve injuries in a Third World country. The Central African

[12] Barman A, Chatterjee A, Prakash H, Viswanathan A, Tharion G, Thomas R. Traumatic brachial plexus injury: Electrodiagnostic findings from 111 patients in a tertiary care

[13] Saadat S, Eslami V, Rahimi-Movaghar V. The incidence of peripheral nerve injury in trauma patients in Iran. Ulus Travma Ve Acil Cerrahi Derg Turk J Trauma Emerg Surg

[14] Suleiman FA, Almaaitah AA, Aqrabawi HE. Upper limb birth trauma in a Jordanian population: A prospective study at King Hussein Medical Centre, Amman, Jordan.

[15] Gousheh J. The treatment of war injuries of the brachial plexus. Journal of Hand Surgery.

[16] Razaq S, Yasmeen R, Butt AW, Akhtar N, Mansoor SN. The pattern of peripheral nerve injuries among Pakistani soldiers in the war against terror. Journal of the College of

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