| A 7-year experience with thoracoscopic sympathectomy for critical upper limb ischemia. | |
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MedLine Citation:
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PMID: 16902742 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Arvind Dhas Lee; Sunil Agarwal; David Sadhu |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: World journal of surgery Volume: 30 ISSN: 0364-2313 ISO Abbreviation: World J Surg Publication Date: 2006 Sep |
Date Detail:
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Created Date: 2006-09-15 Completed Date: 2006-12-12 Revised Date: 2008-06-03 |
Medline Journal Info:
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Nlm Unique ID: 7704052 Medline TA: World J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1644-7 Citation Subset: IM |
Affiliation:
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Department of General and Vascular Surgery Unit 2, Christian Medical College Hospital, Vellore, South India 632004. arvindlee@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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World J Surg. 2008 Feb;32(2):331-2
[PMID:
18027018
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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