| Title |
Raynaud fenomenas: ankstyvieji chirurginio gydymo rezultatai |
| Translation of Title |
The Raynaud phenomenon: early results of surgical treatment. |
| Authors |
Kviecinskas, Giedrius ; Razbadauskas, Artūras ; Gutauskas, Rimvydas |
| DOI |
10.15388/LietChirur.2004.1.2379 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius. 2004, t. 2, Nr. 1, p. 30-35.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
Raynaud's phenomenon ; thoracic sympathectomy ; minimal invasive surgery ; saturation |
| Abstract [eng] |
Background / Objective The Raynaud disease phenomenon is found in about 22% of the world's population. This syndrome affects women more frequently than men. The study reports on the effectivity of thoracic sympathectomy in 1997–2003. This effectivity was valuated by a new method – oxygen saturation repair after "cold test" in the middle finger of the operated on side. Methods This work is a retrospective survey of the investigation and treatment of patients with Raynaud syndrome. We established the indications of the surgical treatment of Raynaud's phenomenon. The "cold test" was employed to observe short-term results of this treatment. The "cold test" is the measurement of O2 saturation in the middle finger of the hand after keeping it for 5 minutes in water at (+2)–(+3) C. The "cold test" was used to test patients before operation and on the second postoperative day after thoracic sympathectomy. To determine the indications of surgical treatment, we considered the concomitant diseases and the duration of Raynaud's phenomenon. The patients were investigated for the possibility of thoracic outlet syndrome. Before surgery, for all patients the ganglion stellatum blockade was performed. Results During 1997–2003, 23 sympathectomies for 22 patients were performed. All patients were tested with the "cold method" before surgery and on the second postoperative day. Before operation, O2 saturation was unmeasurable and restored till the normal range after 30–36 minutes. On the second postoperative day the saturation was unmeasurable too, but it restored to the normal range in 1–2 minutes. Conclusions The surgical treatment of Raynaud's phenomenon is effective in a short postoperative period. The "cold method" is effective for evaluating effectivity of thoracic sympathectomy. |
| Published |
Vilnius |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2004 |
| CC license |
|
