Ravindra G. Devani, Sagar S. Kathare, Veerendra Medide
BACKGROUND The aim of this study was to evaluate the effect of lumbar sympathectomy in thromboangiitis obliterans patients. The present study has been conducted on 50 consecutive cases of thromboangiitis obliterans admitted to the hospital attached to KBNIMS, Kalaburagi. In the present study of 50 cases, age ranged from 30 yrs. to 60 yrs. at the onset of disease. In this study all 50 cases were chronic smokers with minimum duration of 2 yrs. of smoking, 30 patients treated with lumbar sympathectomy and 5 patients with lumbar sympathectomy with amputation and 15 patients with only amputation. Lumbar sympathectomy improved the symptoms clinically with relief of rest pain and also decreased the level of amputation. MATERIALS AND METHODS The present study is a prospective study conducted on 50 consecutive cases of Thromboangiitis obliterans during the period of May 2016 to November 2017 in KBNIMS, Kalaburagi. RESULTS In present study 50 cases ranged from 3rd to 6th decade, the age factor was regarded as one of the most important factors in diagnosis. All the cases were male patients suffering from thromboangiitis obliterans. CONCLUSION Though the role of lumbar sympathectomy had been debated in the recent past as a treatment modality for chronic lower limb ischaemia, but lumbar sympathectomy still remained an important interventional measure in limb salvage and symptomatic relief with good result.
