Endoscopic thoracic sympathectomy for posttraumatic complex regional pain syndrome

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
K DemeyP Nafteux

Abstract

Posttraumatic complex regional pain syndrome (CRPS) has a strongly negative impact on rehabilitation and activities of daily living. Treatment is most often unrewarding. To analyze the efficacy of endoscopic thoracic sympathectomy (ETS) in reducing pain and disability associated with CRPS prospectively. Over a 5-year period, 12 patients (7 females and 5 males; median age 46.5 [range 34-60 years]) with posttraumatic CRPS underwent unilateral ETS. The median duration of CRPS symptoms before ETS was 3.8 months (range 1.2-19.9). The sympathetic chain was resected from the 2nd to the 5th rib, and the nerve of Kuntz was severed. Median postoperative 16 months (range 12-40). Pain was assessed, at rest (passive) and during movement (active), using a visual analogue scale (VAS) from 0 to 10. One patient (8%) suffered a hydrothorax and 3 patients (25%) complained of contralateral compensatory hyperhydrosis. At 1 month (n = 12), 2 months (n = 7), 6 months (n = 12), and 1 year (n = 12) after ETS, there was a significant decrease in passive and active VAS (P < 0.05). Ten out of the 12 patients (83%) needed fewer analgesics after surgery, and eight (67%) did not need analgesics at all. The median sleep duration improved significantly from a ...Continue Reading

References

Jul 1, 1994·Annals of Vascular Surgery·A F AbuRahmaJ P Boland
Jul 1, 1996·Surgical Endoscopy·H J BonjerH van Urk
Apr 29, 1998·BMJ : British Medical Journal·G D Schott
Sep 11, 1998·Annals of Vascular Surgery·S S Ahn, K M Ro
Oct 12, 2000·Journal of Pain and Symptom Management·B S GalerM P Jensen
Feb 21, 2002·Journal of Vascular Surgery·Dennis F BandykDale C Schmacht
Mar 8, 2002·The Journal of Thoracic and Cardiovascular Surgery·In-Hyuk ChungDoo-Yun Lee
May 1, 2002·Anesthesiology·Srinivasa N Raja, Theodore S Grabow
Mar 6, 2003·Journal of Vascular Surgery·Bhugwan SinghJohn V Robbs
Dec 16, 2003·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·João Bosco Vieira DuarteDenise França Magalhães Duarte
Jan 20, 2004·Surgical and Radiologic Anatomy : SRA·N PatherK S Satyapal
Feb 25, 2005·Journal of Neurology·Frank Birklein
Apr 1, 2005·Surgical and Radiologic Anatomy : SRA·B SinghK S Satyapal
Oct 20, 2005·The Cochrane Database of Systematic Reviews·M S CepedaJ Lau
Dec 1, 2006·Pain Practice : the Official Journal of World Institute of Pain·Michael D Stanton-HicksAli R Rezai
Jan 29, 2008·The Annals of Thoracic Surgery·Mark J Krasna
Mar 19, 2008·Annals of Vascular Surgery·Raneem AlbazazShervanthi Homer-Vanniasinkam
Dec 4, 2008·The Annals of Thoracic Surgery·Franz MarholdChristoph Neumayer
Feb 14, 2009·Pain Practice : the Official Journal of World Institute of Pain·Marissa de MosFrank J P M Huygen
Sep 1, 1946·American Journal of Surgery·J C WHITE
Jan 1, 2005·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Gaetano Rocco
Jan 1, 2007·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Gaetano Rocco

❮ Previous
Next ❯

Citations

Apr 2, 2010·BMC Neurology·Roberto S PerezUNKNOWN CRPS I task force

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society
João Bosco Vieira DuarteDenise França Magalhães Duarte
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
O YoungS Sheehan
Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut
H Troeger
© 2021 Meta ULC. All rights reserved