Experience in using lumbar sympathectomy in a central military hospital

The article presents data from the experience of using lumbar sympathectomy surgery in the treatment of pathology of the main arteries in the department of vascular surgery of the central military hospital for more than 45 years. The efficacy of the operation with different degrees of ischemia was analyzed. Based on an evaluation of the results of 1,764 independent and combined lumbar sympathectomies with vascular reconstructions, it was established that this operation, with minimal trauma and a low level of complications, improves the quality of life and patients for many years. Long-term results show that the compensation of limb blood circulation, achieved due to lumbar sympathectomy, allows the majority of patients to maintain a limb for a long time: in case of II А-B grade ischemia, 91% of patients, 2 years - 90%, 5 years - 62%, 10 years - in 57% of patients; with ischemia of III-IV degree - respectively in 80, 72, 45 and 40%.

lumbar sympathectomy, ischemia, oblitering atherosclerosis