Document Detail


A 7-year experience with thoracoscopic sympathectomy for critical upper limb ischemia.
MedLine Citation:
PMID:  16902742     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Severely symptomatic arterial insufficiency of an upper limb not suitable for revascularization is a difficult condition to manage. Thoracoscopic sympathectomy (TS) can be an effective procedure in this setting. METHODS: Our experience with 18 consecutive thoracoscopic sympathectomy (TS) procedures over a period of 7 years has been reviewed. Indications, operative technique, complications, and outcome of surgery are analyzed. RESULTS: We performed 18 TS procedures on 17 patients during this period. There were no deaths. One patient had intraoperative hemorrhage necessitating conversion to open thoracotomy. Mean postoperative hospital stay was 2.3 days. Follow-up ranged from 6 to 72 months. All patients demonstrated clinical benefit from the procedure. CONCLUSIONS: Thoracoscopic sympathectomy is a useful option in patients with severely symptomatic hand and digital ischemia from occlusive small arterial disease like thromboangitis obliterans.
Authors:
Arvind Dhas Lee; Sunil Agarwal; David Sadhu
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of surgery     Volume:  30     ISSN:  0364-2313     ISO Abbreviation:  World J Surg     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-15     Completed Date:  2006-12-12     Revised Date:  2008-06-03    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1644-7     Citation Subset:  IM    
Affiliation:
Department of General and Vascular Surgery Unit 2, Christian Medical College Hospital, Vellore, South India 632004. arvindlee@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Atherosclerosis / surgery
Female
Fingers / blood supply*
Hand / blood supply*
Humans
Ischemia / surgery*
Length of Stay
Male
Middle Aged
Retrospective Studies
Sympathectomy / methods*
Thoracoscopy*
Thromboangiitis Obliterans / surgery
Comments/Corrections
Comment In:
World J Surg. 2008 Feb;32(2):331-2   [PMID:  18027018 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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