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Related Experiment Videos

Lumbar sympathectomy.

H Ellis

    British Journal of Hospital Medicine
    |February 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Lumbar sympathectomy offers a solution for toe gangrene when arterial surgery isn't feasible. This procedure also effectively treats Raynaud's disease and hyperhidrosis of the feet.

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    Area of Science:

    • Vascular Surgery
    • Interventional Radiology

    Background:

    • Peripheral artery disease can lead to threatened or early gangrene of the toes.
    • Reconstructive arterial surgery is not always possible due to poor distal vessel "run off".

    Purpose of the Study:

    • To outline the indications and methods for lumbar sympathectomy.
    • To highlight its role in managing limb-threatening ischemia and specific foot conditions.

    Main Methods:

    • Surgical lumbar sympathectomy.
    • Nonoperative chemical sympathectomy via aqueous phenol injection into the lumbar sympathetic chain.

    Main Results:

    • Lumbar sympathectomy is a viable option for limb salvage in cases unsuitable for reconstructive surgery.
    • Effective in managing intractable Raynaud's disease and severe hyperhidrosis of the feet.

    Conclusions:

    • Lumbar sympathectomy is a valuable therapeutic option for critical limb ischemia and specific foot-related conditions.
    • Chemical sympathectomy provides a less invasive alternative for select patients.