Chemical lumbar sympathectomy

Chemical lumbar sympathectomy in patients with severe lower limb ischaemia.

Over a 13 year period, 544 chemical lumbar sympathetic blocks with phenol in 489 patients were performed by the author with the aid of X-ray image intensification. There was objective and subjective improvement in the signs and symptoms of limb ischaemia in 72%, judged by relief of rest pain, improvement in skin blood flow or healing of ischaemic ulcers. Of patients treated in the years 1990-19...

Evaluation of lumbar sympathectomy.

L UMBAR SympatklCCtOIny iS a surgical procedure that is now well established as a valuable adjunct in the treatment of selected cases of peripheral arterial disease. Immediateiy following World War II there was much enthusiasm for sympathectomy and as a result many patients with peripheral vascular disease underwent this procedure. In the next few years reports indicating a relatively high perc...

Lumbar sympathectomy for peripheral arteriosclerosis.

What is the place of lumbar sympathectomy?

Acute renal failure due to bilateral ureteric necrosis following percutaneous chemical lumbar sympathectomy

We report a case of acute renal failure as a result of obstructive uropathy as a consequence of instillation of phenol used for chemical sympathectomy in Beurger's disease of the lower limbs. Extensive bilateral ureteral necrosis occurred as a result of phenol instillation that. Such practices are still common among the general surgeons and such a complication has not been described before.