2017, Number 1
Universidad Médica Pinareña 2017; 13 (1)
Benitez GL, Lazo HLA, Linares CLB, Malagón SB
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ABSTRACTIntroduction: at present, lumbar sympathectomy is one of the techniques for the treatment of lower limb ischemia in patients with diabetic foot; it is characterized by infection, ulceration and destruction of the deep tissues of the foot, associated with neuropathy or peripheral arterial disease.
Case report: a patient who presented ischemic lesions for 2 months in the first and fifth arches of the right foot; physical examination revealed absence of distal pulses and ischemic gangrene grade 5 according to Mc Cook and Wagner classifications. It was decided to hospitalize the patient, proceeding to right lumbar sympathectomy by video-assisted, the first of this type of procedure carried out in the Pinar del Río province; the procedure allowed to restore the circulation, avoiding the amputation of the limb, the subsequent evolution of the patient was favorable.
Conclusion: the video-assisted lumbar sympathectomy demonstrated great effectiveness, making it possible to treat lower limb ischemia in diabetic patients. Among its advantages was the absence of scars, a decrease in postoperative abdominal pain and in hospital stay; as well it allowed an early resumption of the intestinal transit and an accelerated postoperative recovery.