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Journal of the Korean Society for Surgery of the Hand 1997;2(2):379-386.
Published online January 1, 1997.
Peripheral Periarterial Sympathectomy for The Treatment of Raynauds Phenomenon - Case Report -
Kwang Suk Lee,Jong Woong Park,Dong Hoon Suh
말초 동맥 교감 신경 절제술을 이용한 레이노드 현상의 치료
The treatment of chronic digital pain and cold intolerance due to Raynauds phenomenon is quite difficult especially it is combined with scleroderma. Several surgical trial such as cervicothoracic sympathectomy have been attempted for the medically unresponsible Raynauds phenomenon, but their results were unsatisfactory. We tried peripheral periarterial sympathectomy for the 44 years old female patient who had medically unresponsible severe Raynauds phenomenon with scleroderma. Periarterial adventitial stripping was performed at the level of wrist, superficial palmar arch, common digital artery and proper digital artery about 1.5-2 cm in length. Preoperative angiography and radioactive angiography were done, and the preoperative and postoperative digital blood flows were measured by the desk top computer-aided histogram. Both hands digital pain and cold sensation were markedly reduced after the operation and blood flows increased as compaired with the preoperative measure.

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