Patients with persistent PHH who underwent ERLS presented values close to ideal in the QOL indices related to HH. The mean scores of QOL after ERLS in the test groups presented a considerable decrease from 48.8 to 26.33. [scielo.br]

A pneumoperitoneum was present in 10 procedures, but a Veress needle was placed in only 4 of these. [ncbi.nlm.nih.gov]

• Gangrene of the Toe

  […] of the toes. [ncbi.nlm.nih.gov]

• Subcutaneous Bleeding

  Bleeding from the subcutaneous tissue, retroperitoneal space and anaesthesia did not complicate the procedure – respectively 1.33; 1; 0.75/10. [termedia.pl]

• Anhidrosis

  The patient had anhidrosis of both feet after surgery with Hyperhidrosis Disease Severity Scale score of 1 at the 1-month follow-up. [ncbi.nlm.nih.gov]

  All patients had improvement in foot sweating, with 96.6% achieving total anhidrosis. Five early cases had to be converted to an open surgical method. Complications were rare. No sexual problems were reported by the male patients. [journals.lww.com]

• Disorder of Digit

  The most frequently used indications for thoracic sympathectomy are medically refractory palmar-plantar hyperhidrosis and causalgia. 2, 3 Additional indications include distal digital occlusion, vasospastic disorders with digital ulcerations not responding [thoracickey.com]

• Suggestibility

  This paper suggests four categories of patients, represented by five case reports, where lumbar sympathectomy may prove beneficial: 1) Hypertensive patients with painful leg ulcers; 2) Toe and foot amputations in which arterial reconstruction is not feasible [ncbi.nlm.nih.gov]

• Sexual Dysfunction

  Several recent articles have reported no sexual dysfunction in men undergoing the operation. It has been reported that as long as the sympathectomy is performed below the L2 ganglion, sexual dysfunction did not occur. [med.nyu.edu]

  None of the patients experienced sexual dysfunction. Five patients (62%) reportedly experienced minor compensatory sweating of the torso, and four patients (50%) had postsympathectomy neuralgia. [ncbi.nlm.nih.gov]

  Sexual dysfunction It consists of retrograde ejaculation, and occurs in 25-50% patients undergoing bilateral LS including the L 1 sympathetic ganglia. [orion-group.net]

• Pneumoperitoneum

  Complications included 3 cases (6%) of accidental peritoneal tear and pneumoperitoneum which were resolved by insertion of a Veress needle in the hypochondrium; 2 (4%) retroperitoneal hematoma, and 6 (12%) superficial wound infections. [ncbi.nlm.nih.gov]

This case study illustrates the role of the Podiatrist in the primary health care team and how a multidisciplinary approach to treatment promotes successful diagnosis and treatment regimes. [ncbi.nlm.nih.gov]

Lumbar Sympathectomy: The lumbar sympathectomy was initially utilized for the treatment of ischemic and painful disorders of the lower limbs. This treatment, which was popular among vascular surgeons, remained unchanged for several decades. [laparoscopyhospital.com]

Prognosis The disease is progressive in patients who do not stop smoking. The only way to prevent the progression of the disease is to abstain from all tobacco products. [patient.info]

J Bone Joint Surg (Br), 1950, 32, 325-333. [5] Newman PH, Stone KH : The etiology of spondylolisthesis. [em-consulte.com]

Epidemiology The prevalence of the disease is decreasing in developed countries. Interestingly, the rate of decrease is more closely linked with improvements in socio-economic factors than with smoking status [ 5 ]. [patient.info]

The pathophysiology is thought to involve endothelial cells, platelets, leukocytes and sensory neurons. [patient.info]

Peripheral artery disease: pathophysiology, diagnosis and treatment. Rev Esp Cardiol 2007; 60: 969-82. 7. Perez-Burkhardt JL, Gonzalez-Fajardo JA, Martin JF, et al. [termedia.pl]

"The pathophysiology of cervical and upper thoracic sympathetic surgery". Clinical Autonomic Research. 13 : I40–4. doi : 10.1007/s10286-003-1105-3. PMID 14673672. ^ a b Kawamata YT, Homma E, Kawamata T, Omote K, Namiki A (2001). [en.wikipedia.org]

BACKGROUND: Lumbar sympathectomy (LS) is often the only alternative treatment that can be considered as a means of improving the distal circulation to such extent that major amputation is prevented. [ncbi.nlm.nih.gov]

This disease should be diagnosed promptly to prevent unnecessary progression. [annals.org]

It can negatively affect marital or other intimate relationships, prevent participation in barefoot activities, ruin shoes, and cause skin infections as well as lesions. [laparoscopyhospital.com]