title: Transaxillary thoracoscopically assisted sympathectomy for nonhealing ulcers in scleroderma: a case report of successful treatment.
abstract: We describe the successful treatment of a patient with chronic nonhealing ulcers caused by scleroderma refractory to medical therapy. This patient underwent a successful, transaxillary, thoracoscopically assisted, limited sympathectomy that resulted in healing of her ulcers and resolution of pain in the affected hand.
authors.affiliation: Department of Surgery, University of Massachusetts Medical School, Berkshire Medical Center, Pittsfield, Massachusetts 01201, USA. jvolchok@bhs1.org
authors.forename: Japa
authors.initials: J
authors.lastname: Volchok
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Santamarina
authors.forename: Parvis
authors.initials: P
authors.lastname: Sadighi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D012595:Scleroderma, Systemic / Q000150:complications*; D012883:Skin Ulcer / Q000209:etiology / Q000601:surgery*; D013562:Sympathectomy / Q000379:methods; D013906:Thoracoscopy