Salvage of Ischaemic Limb by Phenol Sympathectomy

Mashiah, A; Soroker, David; Pasik, S; Mashiah, Tonni

doi:10.1093/ageing/11.2.127

Age Ageing

1982

DOI: 10.1093/ageing/11.2.127

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Salvage of Ischaemic Limb by Phenol Sympathectomy

A Mashiah

David Soroker

S Pasik³

et al.

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“…Healing Stump 4 Weeks after the BlockDISCUSSIONMany studies have shown positive results after sympathectomy in patients suffering from rest pain, limited gangrene, causalgia and vasospastic phenomena[8][9][10] .…”

mentioning

confidence: 99%

Complete Pain Relief after Combining Radiofrequency and Phenol for Lumbar Sympathectomy

Al-Khudhairi¹,

Hashim²,

Oriba³

et al. 2013

BMB

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Lumbar sympathectomy alleviates pain such as complex regional pain syndrome, phantom limb pain and other peripheral neuropathies. Different modalities have been used to manage complex syndromes including sympathectomy. Both radiofrequency (RF) and phenol injection are established methods of performing sympathectomy. We present a case with possible diagnosis of chronic regional pain syndrome in a 56 year old lady who presented as an emergency with severe unbearable pain in her right leg. As a result of compromised circulation in the legs, the distal phalanx of second toe was amputated. Diagnostic lumbar sympathectomy with local anaesthetics provided short and temporary pain relief. Lumbar sympathectomy by means of radiofrequency combined with phenol injection was used; the symptoms were alleviated within 12 hours. Follow-up at different intervals has shown remarkable subjective and objective recovery with improved circulation, discoloration and complete healing. To the best of our knowledge this is the first case report of sympathectomy combining the two modes of RF and phenol injection in the same session.

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mentioning

confidence: 99%

Complete Pain Relief after Combining Radiofrequency and Phenol for Lumbar Sympathectomy

Al-Khudhairi¹,

Hashim²,

Oriba³

et al. 2013

BMB

View full text Add to dashboard Cite

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Phenol Lumbar Sympathetic Block in Diabetic Lower Limb Ischemia

Mashiah

Soroker

Pasik

et al. 1995

European Journal of Cardiovascular Prevention & Rehabilitat

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Background: Patients with arteriosclerotic peripheral vascular disease and lower limb ischemia have painful ulceration or incipient gangrene of the lower limb with intractable rest pain. The arteriosclerotic changes may preclude any surgery other than amputation. Methods:We examined whether chemical sympathectomy could relieve pain, arrest gangrene and postpone amputation, even in diabetic patients.Results: Phenol lumbar sympathectomy was performed on 373 patients, of whom 226 (60.6%) were diabetic. Over 24-120 months of follow-up, 219 patients (58.7%) experienced total relief from pain and healing of gangrenous ulcers, although the treatment was unsuccessful in 154 patients. A favorable result was marked in diabetic patients who had rest pain and in non-diabetic patients who had digital gangrene or digital ulcers. Age and sex did not affect the results but heavy smoking did. Conclusion:Phenol sympathectomy should be considered as an alternative to surgical sympathectomy. Furthermore, the technique may be a precursor to and even an alternative to amputation in patients who have diabetes and advanced arteriosclerosis of the lower limb. journal of Cardiovascular Risk 1995, 2:467-469

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Salvage of Ischaemic Limb by Phenol Sympathectomy

Cited by 2 publications

References 0 publications

Complete Pain Relief after Combining Radiofrequency and Phenol for Lumbar Sympathectomy

Complete Pain Relief after Combining Radiofrequency and Phenol for Lumbar Sympathectomy

Phenol Lumbar Sympathetic Block in Diabetic Lower Limb Ischemia

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