Thoracoscopic Thoracic Sympathectomy for Reflex Sympathetic Dystrophy: One Case Report.
- Author:
Tae Sik KIM
1
;
Kwang Taik KIM
;
Hyoung Mook KIM
;
Hak Jae KIM
;
Kun LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Anam Hospital, Medical Center, Korea University, Korea.
- Publication Type:Case Report
- Keywords:
Thoracoscopy;
Sympathectomy;
Sympathetic nervous system
- MeSH:
Amputation;
Clinical Medicine;
Diagnosis;
Fingers;
Humans;
Joints;
Korea;
Male;
Middle Aged;
Precipitating Factors;
Recovery of Function;
Reflex Sympathetic Dystrophy*;
Reflex*;
Replantation;
Shoulder;
Shoulder Joint;
Sympathectomy*;
Sympathetic Nervous System;
Thoracoscopy;
Upper Extremity
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(2):208-211
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Reflex sympathetic dystrophy is an important clinical entity that is characterized by excessive or prolonged pain, vasomotor and other autonomic disturbances, delayed recovery of function, and trophic changes. This syndrome is among the most frequently encountered problems in clinical medicine, and proper diagnosis and therapy are critical. Accidental or surgical trauma or one of a variety of disease states may become a precipitating factor. Proper recognition and treatment result in rapid elimination of symptoms and complete recovery. A 56-years old male accidented total amputation of the proxomal part of the left index finger in May, 1996. Emergently, complete replantation procedure was successfully performed in the department of reconstructive surgery, medical center, Korea University. Afterward, he began to suffer from uncontrolled, prolonged pain in left index finger, proximally spreading pain to the left upper extremity and limited joint movement of the left shoulder. Although many treatments were used for this syndrom, not all of them were effective. Furthermore, the treatments which proved effective had detrimental side effects. However, thoracoscopic left thoracic sympathectomy was performed in our department. This therapy successfully relieved the pain and improved shoulder joint movement.
