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Original communication Society for Vascular Surgery| Volume 37, ISSUE 1, P115-129, January 1955

A critical evaluation of lumbar sympathectomy for peripheral arteriosclerotic vascular disease

DOI:https://doi.org/10.5555/uri:pii:0039606055903172
A critical evaluation of lumbar sympathectomy for peripheral arteriosclerotic vascular disease
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      Abstract

      • 1.
        1. A critical review of the results of 391 lumbar sympathectomies in 275 patients during the years 1945–1952, inclusive, has been presented.
      • 2.
        2. Good results were obtained in 94 (34 per cent) and poor results without amputation in 55 (20 per cent). One hundred seven major amputations were performed on 119 patients, and 108 patients are dead, the average survival time being twenty-five months. One-third lived less than one year.
      • 3.
        3. Comparative analysis of diabetic and nondiabetic patients with ulceration or gangrene reveals the results to be essentially the same.
      • 4.
        4. Factors affecting anticipated results from sympathectomy have been discussed and, based upon the results of this study, five categories have been presented in which the minimal number of good results were obtained.
      • 5.
        5. Evidence is presented supporting the desirability of bilateral operation provided that it is compatible with the patient's general condition.
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      References

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      Article info

      Footnotes

      ☆Read at the eighth annual meeting of the Society for Vascular Surgery, San Francisco, June 20, 1954.

      Identification

      DOI: https://doi.org/10.5555/uri:pii:0039606055903172

      Copyright

      © 1955 Published by Elsevier Inc.

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