oa Central African Journal of Medicine - Sympathectomy and limb salvage in peripheral vascular insufficiency: a clinical study of 100 patients

Volume 36, Issue 10
  • ISSN : 0008-9176



An analysis of clinical features and response to sympathectomy of one hundred patients with peripheral vascular insufficiency were reviewed. The commonest symptom was intermittent claudication followed by ulcer, gangrene and rest pain. Symptoms were severe bilateral in four patients. Lumbar sympathectomy was undertaken unilaterally in 59 patients while in 29 patients bilateral procedure was carried out. Nine patients had undergone both cervical and lumbar sympathectomy as they had the disease involving both the upper and lower extremities. The disease was far advanced in 39 patients who underwent conservative amputation. A policy of sympathectomy with conservative amputation gave excellent results.

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