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Abstract
Summery &conclusion
The advent of laparoscopic extra peritoneal lumbar sympathectomy would appear to be a significant advance, in that it offers the accuracy and permanence of surgical sympathectomy without the morbidity of a lengthy abdominal incision and difficult retraction to maintain the extraperitoneal plane.
This study was performed during the period from April 2005 to April 2007. It was performed on thirty one patients attending the outpatient clinic of surgery at Suez Canal University Hospital in need for medical advice for their complaint from lower limb ischemic manifestation
This study was performed on thirty one patients all study population were males the youngest was 26 years old and the oldest was 65 years old with the mean age was 42.23 years. The type of arterial occlusive disease affected the studied population, which shows that 35.5% percentage of the studied population for the peripheral arterial disease, and 64.5% percentage for Berger’s disease. The affected side of the studied population, which represents 54.8% of the studied population to have affection in the right side and 45.2% for the left side.
The associated diseases in the studied population, which shows that 51.6% of the studied population has no associated diseases, 35.5% to have hypertension alone, and 12.9% to have both hypertension and diabetes mellitus. The history of previous operation in the studied population, which was: No operation was 48.4%, above knee amputation was 6.5%, big toe amputation 2.9%, cholecystectomy 6.5%, femropopliteal 16.1%, sympathectomy 9.7%. The duration of the operation in the studied population which shows 25.8% took about 60 min. in operative time, 38.7% took 90 min., 22.6% took 120 min., and 12.9% took 150 to 180 min.
The duration of hospital stay in the studied population which represents that 67.7% of the studied population stayed one day in the hospital, and 32.3% stayed more than one day.
The frequency of burning pain in the studied population which was present in 58.1% of the studied population and 41.9% exhibits no pain.