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The effects of lumbar sympathectomy in patients with chronic leg ischemia

Jacek Kordiak, Edyta Santorek-Strumiłło, Marian Brocki, Robert Stolarek, Szymon Wcisło, Sławomir Jabłoński

Med Sci Tech 2008; 49(2): RA83-85

ID: 881595

Introduction: The essential aim of lumbar sympathectomy is a surgical denervation of sympathetic stimulation via α adrenergenic receptors in blood vessels. The resultant dilation of veins and small arteries lead to improvement of peripheral tissue blood supply. Material and methods: This study was aimed to outline the supplemental surgical methodology in the therapy of ischemic pes diabeticum. Staring from 2000-2005, there was total 139 patients with confirmed diagnosis of ischemic pes diabeticum at the Department of Thoracic Surgery, General and Cancer Surgery at the University Hospital No. 2 in Lodz. Total of 237 lumbar sympathectomies were performed, the surgery was unilateral in 41 patients and bilateral in 98 (70% of all study subjects). There were 22 patients with simultaneous amputation of lower extremities (9 at thigh level and 13 at tibial level). Results: After the surgery, the decreased pain intensity was noted in all patients with leg pain at rest (the pain intensity was reported at mean 4 points, thin the range of 3 to 5 points). In 71 patients (51% of study subjects) there was remarkable clinical improvement. The surgery resulted in improvement with apparent increase of temperature in extremities and acceleration of wound healing in case of both ulceration and amputation. Conclusions: Lumbar sympathectomy is a adjunctive therapeutical method in chronic lower extremity ischemia and remarkably improves the quality
of patients’ life. (Clin Exp Med Lett 2008; 49(2): 83-85)

Keywords: LUMBAR SYMPATHECTOMY, Ischemia, Diabetes Mellitus

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