AN EXPERIENCE OF COMBINED MINI-INVASIVE LUMBAR SYMPATHECTOMY FROM RETROPERITONEAL ACCESS
Objective : To perfect and inculcate in practice of vascular surgery units the method of mini-invasive lumbar sympatectomia in the treatment of the patients with acute diseases of low limbs vessels (ADLLV). The results of surgical treatment of 23 patients (3 female, 20 male) with ADLLV constituted an object of the research presented. They have performed 24 mini-invasive lumbar sympathectomies (MILS). The ADLLV reasons in 19 cases was obliterating atherosclerosis, in 3 cases - endarteritis, diabetic macroangiopathy and postembolic occlusion - in one case According to the degree of low limbs ischemia ( Fonteyn’s classification) the patients were distributed as follows: the II-nd degree - 7 cases, the III rd- 7 and IV - 10 cases. MILS possesses a number of substantial advantages as compared to the open operation: small traumatism, moderate pain syndrome, minimum volume of medicinal accompaniment of operation, quick occupational rehabilitation and a nice cosmetic effect. Introduction of the improved method of MILS allowed to reduce frequency of after-operative complications, substantially reduce the terms of in-patient medical treatment and improve the cosmetic effect of operation.