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Related Experiment Videos

Reflex sympathetic dystrophy--the surgeon's role in management.

C Olcott1, L G Eltherington, B R Wilcosky

  • 1Department of Cardiovascular Surgery, Sequoia Hospital, Redwood City.

Journal of Vascular Surgery
|October 1, 1991
PubMed
Summary

Vascular surgeons must understand reflex sympathetic dystrophy (RSD). Surgical sympathectomy offers good to excellent results for RSD patients, especially when treated early and with extended procedures.

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Area of Science:

  • Vascular Surgery
  • Pain Management
  • Neurology

Background:

  • Reflex sympathetic dystrophy (RSD) requires vascular surgeon familiarity for effective patient evaluation and treatment.
  • A multidisciplinary team approach, including pain experts, is crucial for managing RSD patients.

Observation:

  • 35 patients with RSD were evaluated and considered for surgical sympathectomy over 3.5 years.
  • All patients underwent at least one diagnostic sympathetic block prior to surgical consideration.
  • Careful patient selection and a team approach were employed.

Findings:

  • Surgical sympathectomy yielded excellent results in 74% of patients, good results in 17%, and poor results in 9%.
  • Earlier treatment and extended surgical sympathectomy correlated with improved patient outcomes.

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  • Repeat or contralateral sympathectomy was necessary in a small subset of patients due to residual sympathetic tissue.

    • Implications:

    • Vascular surgeons play a key role in the management of reflex sympathetic dystrophy.
    • Early intervention and comprehensive surgical sympathectomy strategies can optimize treatment outcomes.
    • Further investigation for residual sympathetic tissue is warranted in non-responsive cases to guide subsequent interventions.