Transaxillary thoracoscopically assisted sympathectomy for nonhealing ulcers in scleroderma: a case report of successful treatment.
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.
Volchok
Japa
J
Department of Surgery, University of Massachusetts Medical School, Berkshire Medical Center, Pittsfield, Massachusetts 01201, USA. jvolchok@bhs1.org
Santamarina
Rodrigo
R
Sadighi
Parvis
P
D000328:Adult; D005260:Female; D006801:Humans; D012595:Scleroderma, Systemic / Q000150:complications*; D012883:Skin Ulcer / Q000209:etiology / Q000601:surgery*; D013562:Sympathectomy / Q000379:methods; D013906:Thoracoscopy