Hallux amputation in combination with a lumbar sympathectomy for treatment of a non-healing ulceration in a patient with buerger's disease

OʼConnor, Kevin; Grady, John F.; Moore, Carol J.; Axe, Timothy M; Shumaker, Joan M.

doi:10.1016/s1067-2516(96)80084-6

Cited by 6 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Compared with thoracoscopy, this method was less invasive and cost-effective [26]. Although cervical or lumbar sympathectomy may facilitate the healing of the nger or toe segments [27], it has now been replaced by a bypass or microscopic digital sympathectomy. This also re ects that the surgical intervention for RS should be minimally invasive, thus, laying the foundation for the current microsurgical techniques for treating RS.…”

Section: Discussionmentioning

confidence: 99%

Efficacy Analysis of Minimally Invasive Surgery for Raynaud’s Syndrome

Liu

Zhang

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Raynaud’s syndrome (RS) is a rare autonomic nervous system disorder and is also known as Raynaud’s disease, cold agglutinin disease, etc. With the evolution of microsurgical techniques, undergoing minimally invasive surgery in combination with adventitial release and sympathectomy for the affected limbs greatly improves locoregional blood circulation and neurological function. Methods A retrospective study was conducted on RS patients who reported to the Department of Hand & Foot Surgery (Microsurgery), Binzhou Medical University Hospital. The patients were divided into experimental and control groups. Fifteen (5 of whom had fingertip soft tissue necrosis, with no phalangeal exposure or infection) experimental group patients underwent microscopic adventitial release and sympathectomy. They were given nifedipine, conventional lamp, and heat therapies for the affected fingers during the perioperative period, followed by postoperative analgesic drugs. Fifteen control group patients who refused surgery or were treated non-surgically underwent treatment with nifedipine, conventional lamp, and heat therapies for the affected fingers. All patients provided informed consent. Results Various outcome measures like the VAS pain score, RCS score, Quick-DASH scale score, digital ulcer score, and cold water stimulation test results in the experimental group were significantly improved when compared with the control group patients; no recurrence was observed during the follow-up. Conclusion After adventitial release and sympathectomy in RS patients, improved symptoms, a faster capillary reaction time of the affected fingertips, and significant pain alleviation demonstrated that microscopic adventitial release along with sympathectomy was greatly effective in RS patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Efficacy Analysis of Minimally Invasive Surgery for Raynaud’s Syndrome

Liu

Zhang

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Sympathectomy, particularly lumbar, has been used in patients with nonhealing ischemic lesions, but the results are unclear [32] . However, studies have shown that patients with an ankle/brachial index of less than 0.3 have a poor response to sympathectomy [33] .…”

Section: Therapymentioning

confidence: 99%

Thromboangiitis obliterans (Buerger's disease)

Rivera-Chavarría

Brenes-Gutiérrez

2016

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

“…The disease's hallmark features include a nonatherosclerotic inflammatory pathology, occlusive thrombosis, and segmental vessel involvement [1]. Although BD occurs worldwide, its incidence exhibits regional variations, with a higher prevalence in regions like India, the Far East, and the Middle East [4]. This condition is predominantly found in young male smokers.…”

Section: Introductionmentioning

confidence: 99%

“…The etiology of BD remains elusive but is closely linked to tobacco exposure [1,2]. Genetic predisposition, infectious agents, hypereosinophilia, HLA-A9 and HLA-B5 antigens, and potential autoimmune, allergic, or idiosyncratic responses to smoking have also been suggested as risk factors [4]. Clinically, BD manifests as peripheral ischemia, resulting in severe pain and discomfort, most commonly in the arch of the foot or the calf of the leg.…”

Section: Introductionmentioning

confidence: 99%

“…Clinically, BD manifests as peripheral ischemia, resulting in severe pain and discomfort, most commonly in the arch of the foot or the calf of the leg. Symptoms may also include chest pain and distinct skin abnormalities such as asymmetric coldness, skin atrophy, and abnormal nail growth [4]. The disease progression can lead to gangrene and amputation, significantly impairing patients' quality of life [2,5].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Role of Lumbar Sympathectomy in the Management of Buerger's Disease: A Systematic Review

Helin Hussein,

Luqman M. Ali Hassan,

Piwand Abdulkarim

et al. 2023

Barw Medical Journal

View full text Add to dashboard Cite

Introduction Lumbar sympathectomy has been explored to manage Buerger's disease (BD) with varying success rates, but the results are often controversial. Despite the substantial morbidity associated with BD, there is a scarcity of comprehensive reviews on the topic. The current study is a systematic review of the efficacy of lumbar sympathectomy in the management of BD. Methods A meticulous systematic exploration was conducted across reputable databases and search platforms. The search strategy employed the following keywords:(lumbar sympathetic OR sympathectomy OR lumbar sympathetic block) AND (Buerger's disease OR Buerger OR thromboangiitis obliterans OR lower limb disease). Out of 42 identified studies, 16 were excluded during the initial screening phase. Following initial and full-text screenings, 10 studies remained eligible. The assessment of studies regarding the inclusion criteria was conducted independently by two authors, with a third author intervening to arbitrate any discrepancies. Results The demographic characteristics revealed that all participants were male, with a mean age of 38.9 years. Smoking prevalence among the cases was notably high (99%). Chemical sympathectomy was the predominant intervention, employed in 87.8% of cases, while surgical sympathectomy was utilized in only 12.2% of cases. Among the cases, 8.7% achieved complete resolution from the disease, while 91.3% reported partial relief. Conclusion Lumbar sympathectomy can be a viable treatment option for BD with fair outcomes. Nevertheless, smoking cessation remains the primary factor impeding disease progression and aggressiveness.

show abstract

Hallux amputation in combination with a lumbar sympathectomy for treatment of a non-healing ulceration in a patient with buerger's disease

Cited by 6 publications

References 7 publications

Efficacy Analysis of Minimally Invasive Surgery for Raynaud’s Syndrome

Efficacy Analysis of Minimally Invasive Surgery for Raynaud’s Syndrome

Thromboangiitis obliterans (Buerger's disease)

The Role of Lumbar Sympathectomy in the Management of Buerger's Disease: A Systematic Review

Contact Info

Product

Resources

About