2005, Number 3
Sympathetectomy, histopathological findings and clinical effects in the diabetic patient
Lozano MM, Oreza AMJ, Serrano LJA, Cossío ZA, Manjarrez CJA, García GG, Loya SJA
Full text
Language: Spanish
References: 12
Page: 80-83
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ABSTRACT
The present study has as main objective to demonstrate the integrity of the sympathetic nerve in the diabetic patient of long evolution. To this purpose 46 clinical files of diabetic patients that underwent lumbar simpathectomy were studied, in the period from March 1999 to June 2001. The diabetic type 2 patients, of more than 15 years of evolution, were those who prevailed with 89%, the average age was 63.4 years; among which 32% were women and 68% men. The factors of more frequent risk were: arterial systemic hypertension, smoking and ischaemic cardiopathy. In the study those with ischaemic lesions prevailed. The more frequent occlusive pattern was the femoropopliteal with 18 patients, followed by tibial vessels with 16 patients and the aortoiliac segment with 12 patients. In the histopathologic results, the integrity of the resected sympathetic nerve predominated in 78%. With these results we concluded that the lumbar simpathectomy is still an option for indirect arterial surgery. Useful for diabetic patients, but it is necessary to have special care in the selection of the patients to take them to indirect arterial surgery.REFERENCES