[The efficacy of hand desimpatization after sympatectomy by complex regional pain syndrome].

Abstract

64 patients operated on the reason of complex regional hand pain syndrome were examined with the use of laser spectral Doppler flowmetry and thermography. 33 patients had thoracoscopic Th3 ganglion clipation; 16 patients had brachial artery and vein perivascular sympathectomy; 15 patients periarterial sympathectomy on the level of brachial artery. Desympathisation (microcirculatory hemodynamic improvement and trophotropic microcirculation regulatory changes) was mostly apparent after thoracoscopic clipation and perivascular desympatisation in comparison with isolated periarterial sympatectomy.

• Authors: A I Krupatkin, I O Golubev, M V Merkulov, I A Kutepov, A A Maksimov, V A Kuz'michev
• Journal: Khirurgiia (Khirurgiia (Mosk)) Issue 7 Pg. 43-7 ( 2011) ISSN: 0023-1207 [Print] Russia (Federation)
• PMID: 21983533 (Publication Type: English Abstract, Journal Article)

Topics

• Aged
• Brachial Artery (innervation)
• Breath Tests
• Female
• Hand (blood supply, innervation)
• Humans
• Laser-Doppler Flowmetry
• Male
• Microcirculation
• Middle Aged
• Monitoring, Physiologic (methods)
• Postoperative Period
• Reflex Sympathetic Dystrophy (diagnosis, physiopathology, surgery)
• Skin (blood supply, innervation)
• Skin Temperature
• Sympathectomy (adverse effects, methods)
• Thermography
• Thoracoscopy
• Treatment Outcome
• Vasomotor System (physiopathology, surgery)
• Veins (innervation)