First Experience in Thoracoscopic Sympathectomy at Treatment of Patients with Vast Posttraumatic Upper Extremity Defects Using Free Flaps

I. O Golubev; A. I Krupatkin; A. A Maximov; V. A Ruzmichev; M. V Merkulov; O. M Bushuev; G. N Shipyaeva; I. A Kutepov

doi:10.17816/vto20130269-73

N.N. Priorov Journal of Traumatology and Orthopedics ›› 2013, Vol. 20 ›› Issue (2) :69 -73. DOI: 10.17816/vto20130269-73

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First Experience in Thoracoscopic Sympathectomy at Treatment of Patients with Vast Posttraumatic Upper Extremity Defects Using Free Flaps

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Abstract

Two clinical observations of patients with severe upper extremity injury sequelae are presented. Examinations included clinical and ultrasound methods, MRT-angiography, ENMG. Trophic status and microcirculation were studied using computer thermography as well as laser Doppler Flowmetry. Thoracoscopic clipping of sympathetic ganglions at the Th3-Th4 levels were performed in 7 weeks and 3 months following microsurgical forearm reconstruction. Sympathectomy provoked significant microcirculation activation and as a consequence improvement of extremity trophic status including distal region

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thoracoscopic sympathectomy / microcirculation / thermotopography

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I. O Golubev, A. I Krupatkin, A. A Maximov, V. A Ruzmichev, M. V Merkulov, O. M Bushuev, G. N Shipyaeva, I. A Kutepov. First Experience in Thoracoscopic Sympathectomy at Treatment of Patients with Vast Posttraumatic Upper Extremity Defects Using Free Flaps. N.N. Priorov Journal of Traumatology and Orthopedics, 2013, 20(2): 69-73 DOI:10.17816/vto20130269-73

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