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Related Experiment Videos

Peripheral nerve division for relentless ischemic foot pain.

J Alpert, D K Brief, B J Brener

    Archives of Surgery (Chicago, Ill. : 1960)
    |May 1, 1976
    PubMed
    Summary

    Multisensory peripheral nerve division offered a solution for intractable ischemic foot pain when revascularization failed. This procedure was used for patients with localized gangrene or those refusing limb amputation.

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    Area of Science:

    • Vascular Surgery
    • Pain Management
    • Neurology

    Background:

    • Ischemic foot pain can be intractable, especially when revascularization is not feasible.
    • Peripheral nerve interventions are explored for refractory limb pain.
    • Limb amputation is a drastic measure for severe ischemic conditions.

    Observation:

    • A three-year study involved ten patients undergoing 12 multisensory peripheral nerve divisions.
    • The procedure targeted intractable ischemic foot pain.
    • Indications were determined after revascularization was deemed impossible.

    Findings:

    • The primary indications included localized, dry, contained acral gangrene in patients unsuitable for lesser amputation.
    • Patient or family refusal of limb amputation was another key indication.

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  • Multisensory peripheral nerve division was performed in these challenging cases.

    • Implications:

    • This surgical approach provides an alternative to amputation for specific ischemic foot conditions.
    • It addresses pain and tissue compromise when other options are exhausted.
    • Further research may elucidate the long-term efficacy and patient selection criteria for this intervention.