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369082

ENDOSCOPIC VERSUS OPEN LUMBAR SYMPATHECTOMY

Article

Last updated: 29 Dec 2024

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Abstract

Aim: There have been increasing reports of early experiences with endoscopic lumbar sympathectomy. Most of these 
reports mentioned a small number of cases and non compared this minimal invasive procedure to the standard open 
approach. 
Methods: Thirty-one patients with inoperable critical limb ischemia attended our hospital over 32 months, were 
randomized to either open or endoscopic approach for lumbar sympathectomy. We used the standard technique for the 
open approach and used the aid of two different purpose balloons for the endoscopic approach. Data regarding operative time, complications, operative success, operative wound pain control and hospital stay were compared in both groups. 
Results: Operative time was initially longer in the endoscopic approach, but toward the end of the study, it was nearly 
the same in both groups. The aid of the dissecting and retracting balloons helps to have a safe endoscopic approach with no intraoperative complications. 
Patients who had endoscopic approach significantly required fewer painkillers for the operative wound and had shorter 
hospital stay than those who had the open approach. 
Conclusion: Endoscopic lumbar sympathectomy is a safe and feasible procedure. It has a better outcome when compared to the open approach.

DOI

10.21608/ejsur.2009.369082

Keywords

Minimally invasive, retroperitoneal, Critical ischemia

Authors

First Name

Sherif

Last Name

Reffat

MiddleName

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Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

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City

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Orcid

-

First Name

Hatem

Last Name

Hussin

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Adel

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

docterdrwany1993@gmail.com

City

-

Orcid

-

First Name

Mamdouh

Last Name

El-Mezain

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

Volume

28

Article Issue

1

Related Issue

49365

Issue Date

2009-01-01

Receive Date

2024-07-24

Publish Date

2009-01-01

Page Start

13

Page End

20

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_369082.html

Detail API

https://ejsur.journals.ekb.eg/service?article_code=369082

Order

369,082

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

ENDOSCOPIC VERSUS OPEN LUMBAR SYMPATHECTOMY

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Article

Created At

21 Dec 2024