Journal «Angiology and Vascular Surgery» • 

1997 • VOLUME 3 • №1

LUMBAR SYMPATHECTOMY IN MULTIMODALITY TREATMENT OF OBLITERATING DISEASES OF THE LOWER EXTREMITIES

Ye.P. Kokhan, O.V. Pinchuk
Center of Cardiovascular Surgery, Third Military Clinical Central Vishnevsky Hospital,
Krasnogorsk, Russia

In 1996 it will be 70'years since P.A. Hertzen performed the first lumbar sympathectomy in Russia. At the same time a number of issues related to the employment of lumbar sympathectomy and its effect on the microcirculatory bed and obliterating vascular lesions remain disputed till the present time. Analysis is made of the experience gained with 1186 lumbar sympathectomies accomplished from 1969 to 1995 at the Department of Vascular Surgery, Vishnevsky Center of Cardiovascular Surgery of the Central Military Hospital. Of these, 510 sympathectomies were performed as the basic modality of surgical treatment and 676 procedures were combined with reconstructive interventions on the runoff vessels. Indications for sympathectomy and efficacy there of in different stages of obliterating diseases of the lower extremities are discussed. The data obtained evidence that lumbar sympathectomy is marked by minimal traumaticity and lethality, considerably improving the results of the treatment of patients with obliterating diseases of the lower extremity arteries.

P. 134

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