Periarterial Digital Sympathectomy for Severe Ischaemia of Raynaud`S

Sanjay Singh and Moatasiem Bukhari

Department of Vascular Surgery, Royal Lancaster Infirmary, UK

^*Correspondance to: Sanjay Singh 

 PDF  Full Text DOI: 10.25107/2474-1647.1257

Abstract

Objective: The aim of the present study was to evaluate the results of periarterial digital sympathectomy in cases of severe ischaemia of digits manifesting as digital ulceration and ischemic pain refractory to medical treatments.Methods: We reviewed all digital sympathectomise performed at our vascular unit between 2006- 2014. Demographics and outcomes were analyzed along with review of literature.Results: Eleven patients representing 48 digits underwent periarterial digital sympathectomy for severe ischaemia. Rest pain was resolved in all patient but in 2 patients recurrence occurred in cold environment. Digital ulceration was healed completely in 92.8% (13/14). There were no major complications of the surgery.Conclusion: Our study findings demonstrate that digital artery sympathectomy is an effective technique for diminution of pain, healing of ulcers and preservations of the digits in patients with chronic digital ischemia. However we accept that multicentric prospective studies with standardized inclusion criteria, timing for intervention and consistent follow up should be performed to evaluate the efficacy and safety of digital sympathectomy before recommending the surgery to all cases of chronic digital ischaemia.

Keywords

Digital sympathectomy; Raynaud`s Phenomenon; Ischaemia; Ulceration

Cite the article

Singh S, Bukhari M. Periarterial Digital Sympathectomy for Severe Ischaemia of Raynaud`S. Clin Surg. 2016; 1: 1258.