Chylous Fistula Following Surgical Lumbar Sympathectomy

Chylous Fistula following Axillary Lymphadenectomy: Benefit of Octreotide Treatment.

Chyle leak following axillary lymph node clearance is a rare yet important complication. The treatment of postoperative chyle fistula still remains unclear. Conservative management is the first line of treatment. It includes axillary drains on continuous suction, pressure dressings, bed rest, and nutritional modifications. The use of somatostatin analogue is well documented as a treatment for c...

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.

[a Case of Arteriovenous Fistula following Lumbar-disk Surgery].

概要 椎間 板へル ニア手 術に よる々外傷性 亜動静脈瘻 につ いては25例 の 報告があ り,こ の多.(は 心不 全症 状を呈し て い る.本 例はヘル ニア手術 後約7カ 月て心不 全 に至 り,腹 部の連続性 機械様 雑音 に より 動静脈瘻 が疑 われ た症 例であ る.心 肥大,肺 うつ血,肝 腫大,静 脈 圧上 昇あり.血 圧 は第V点0.R :PF, GFRの 中等度 低下 をみる.心 カテー テル検査,大 動脈造影,静 脈造影 を行な い,腹 部動静脈 瘻に よる高 心拍出量性 心不全 と診断.手 術 に よ り右総腸骨 動静脈瘻を 確認,修 腹 し,心 不 全症状 は消 失 した.動 静脈瘻 の存在 がNa貯溜,心 不 全を来た し易い理由に つ いて検討 した.大 きな動静脈瘻 があ る時 には,心 拍出量 の不足 を補 うため に末 梢血管の収縮 が起 こ...

Surgical sympathectomy for Buerger’s disease

Buerger's disease is characterized by recurring progressive inflammation and occlusions in small and medium arteries and veins of the limbs. Its cause is unknown, but it is most common in young men with a history of tobacco use. It is responsible for ischemic ulcers and extreme pain in the hands and feet. In many cases, notably in patients with the most severe presentations, there is no possibi...