الفهرس 
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Abstract
•The objective of this thesis was to evaluate the outcome of microsurgical repair in babies suffering from obstetrical brachial plexus palsy (OBPP) especially the shoulder recovery and also to compare the results in total and upper palsy .
This study was conducted in neurosurgery department Mansoura University hospital and plastic and reconstructive surgery unit Zagazig University ,from March 2005 to January 2007 on fifteen patients subdivided into two groups.
Group one included ten patients presented with total OBPP palsy .
Group two included five patients presented with upper OBPP palsy . All of them underwent thorough history taking ,several laboratory , radiological and electrophysiological investigations and finally plexus exploration and microscopic repair. Follow up of our patients showed satisfactory shoulder recovery in 73.33%of our patients after microsurgical repair which is superior to natural history of the disease . By comparing the results of functional recovery in both groups shoulder recovery was more or less better in group two. Use of fibrin sealant (fibrin glue) in maintenance of graft cooptation instead of microsutures gave the same results or even better and spare time and effort of microanastomoses