Translated title of the contribution: Long-term results of radical lumbar sympathectomy. Personal experience

L. Beretta, E. M. Bortolani, V. Tolva, A. La Penna, M. Boneschi

Research output: Contribution to journalArticlepeer-review


We present our experience of 15 patients operated on by lumbar sympathectomies between 1987-1993, to confirm the effective and the lower limbs. The patients, 9 men and 6 women (age 58-86) presented with rest pain (12), and minimal toe lesions (3). After an eco color-Doppler and angiography of the lower limbs, a radical operative sympathectomy (L2-L5) was performed in all patients. Associated diseases were: ischemic cardiopathy (61.7%), renal failure (25%), diabetic disease (61.7%), carotid stenosis (25%), abdominal aortic aneurysm (12%). In four patients, was performed during the same surgical time, 2 abdominal aortic aneurysm repairs, and 2 aorto-bifemoral bypasses. No patients died, operative morbidity was 12.5% (2 cases). The clinical and instrumental follow-up performed on 6 patients (38.3%) after 3 years, demonstrated in all cases the regression of the rest pain (12 patients) and the healing of the toe lesions (3 diabetic patients). Our results confirm the efficacy of sympathectomy especially when performed in young patients. The small number of diabetic patients in our study made statistical evaluation difficult, but it is generally considered that the results are worse in diabetic patients, because the microvascular lesions in these patients reduce peripheral vasodilatation.

Translated title of the contributionLong-term results of radical lumbar sympathectomy. Personal experience
Original languageItalian
Pages (from-to)173-177
Number of pages5
JournalMinerva Chirurgica
Issue number3
Publication statusPublished - 1998

ASJC Scopus subject areas

  • Surgery


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