Peripheral Nerve Surgery × Neuroscience: Brain Science Based Hand Surgery — Why Doesn't Function Recover Despite Reconstruction?
Igaku-Shoin Ltd. (Bunkyo-ku, Tokyo; President: Shun Kanehara) announced the release of 'Peripheral Nerve Surgery × Neuroscience: Brain Science Based Hand Surgery' by Hitoshi Hirata on April 20, 2026.
### Deciphering Hand Surgery through Brain Function "The surgery was a success, yet movement remains difficult." This common challenge in orthopedic practice is addressed by Dr. Hitoshi Hirata, an expert in hand and peripheral nerve surgery. He proposes that the core of peripheral nerve disorders lies in changes within the brain's functional network.
The book re-evaluates clinical experiences across all life stages—from the fetal period to old age—providing insights into optimal treatments through the lens of neuroscience.
### A New Perspective for Orthopedics This work expands the understanding of motor function by highlighting that the control of the musculoskeletal system is heavily influenced by the development and degeneration of the central nervous system, particularly the brain. Dr. Hirata suggests that re-examining spinal diseases, orthopedic pain, and post-traumatic disabilities from a brain-centric perspective can lead to innovative treatment strategies.
### Table of Contents Highlights **Part I: Rethinking Peripheral Nerve Surgery from a Central Nervous System Perspective** 1. Reconsidering surgery based on brain function 2. Mechanisms of functional recovery in nerve injury 3. Nerve injuries in fetal, neonatal, pediatric, and adolescent stages
**Part II: Systems Neuroscience Supporting Brain Plasticity** 1. Cortical development in response to peripheral nerves 2. Predictive coding models 3. Allostasis and episodic memory mechanisms 4. Neural basis of fine motor skills 5. Neuroplasticity and systems neuroimmunology
### Bibliographic Information - **Title:** Peripheral Nerve Surgery × Neuroscience: Brain Science Based Hand Surgery - **Author:** Hitoshi Hirata - **Release Date:** April 20, 2026 - **Format:** B5, 216 pages - **Price:** 13,200 JPY (Tax included) - **Publisher:** Igaku-Shoin
### About Igaku-Shoin Founded in 1944, Igaku-Shoin is a leading medical publisher in Japan. It provides essential information for the advancement of medicine and nursing, publishing over a hundred books and journals annually, including 'Today's Therapy' and 'Systematic Nursing Course.'
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