Microsurgical distal sympathectomy in chronic vasospastic syndromes of the hand.
The authors propose a microsurgical technique to treat upper limb chronic digital ischemia that is resistant to medical therapy. The adventitiectomy technique on digital arteries is used here to remove the fibrous tissue and the vasoconstrictor sympathetic nervous fibers contained in it. This operation is a valid alternative to traditional proximal sympathectomy.
Ortensi
Andrea
A
Microsurgery Unit, Department of Surgical Sciences, and Department of Clinical Medicine, Immunology and Allergology, University of Rome, La Sapienza, Italy.
Salsano
Felice
F
Trinchi
Stefano
S
D'orazi
Valerio
V
Pisarri
Simonetta
S
D000328:Adult; D000368:Aged; D005260:Female; D005385:Fingers / Q000098:blood supply / Q000473:pathology*; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D009336:Necrosis; D011928:Raynaud Disease / Q000601:surgery*; D013562:Sympathectomy / Q000379:methods*