title: Microsurgical distal sympathectomy in chronic vasospastic syndromes of the hand.
abstract: 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.
authors.affiliation: Microsurgery Unit, Department of Surgical Sciences, and Department of Clinical Medicine, Immunology and Allergology, University of Rome, La Sapienza, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Ortensi
authors.forename: Felice
authors.initials: F
authors.lastname: Salsano
authors.forename: Stefano
authors.initials: S
authors.lastname: Trinchi
authors.forename: Valerio
authors.initials: V
authors.lastname: D'orazi
authors.forename: Simonetta
authors.initials: S
authors.lastname: Pisarri
mesh_terms: 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*