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Krupatkin A.I.

N.N. Priorov National Research Center of Traumatology and Orthopedics, Ministry of Health of the Russia, Moscow, Russia

Golubev I.O.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut travmatologii i ortopedii im. N.N. Priorova Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

Merkulov M.V.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut travmatologii i ortopedii im. N.N. Priorova Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

Kutepov I.A.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut travmatologii i ortopedii im. N.N. Priorova Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

Maksimov A.A.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut travmatologii i ortopedii im. N.N. Priorova Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

Kuz'michev V.A.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut travmatologii i ortopedii im. N.N. Priorova Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

The efficacy of hand desimpatization after sympatectomy by complex regional pain syndrome

Authors:

Krupatkin A.I., Golubev I.O., Merkulov M.V., Kutepov I.A., Maksimov A.A., Kuz'michev V.A.

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Journal: Pirogov Russian Journal of Surgery. 2011;(7): 43‑47

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Table of contents

THE EFFICACY OF HAND DESIMPATIZATION AFTER SYMPATECTOMY BY COMPLEX REGIONAL PAIN SYNDROME
THE EFFICACY OF HAND DESIMPATIZATION AFTER SYMPATECTOMY BY COMPLEX REGIONAL PAIN SYNDROME

To cite this article:

Krupatkin AI, Golubev IO, Merkulov MV, Kutepov IA, Maksimov AA, Kuz'michev VA. The efficacy of hand desimpatization after sympatectomy by complex regional pain syndrome. Pirogov Russian Journal of Surgery. 2011;(7):43‑47. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
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Abstract:

64 patients operated on the reason of complex regional hand pain syndrome were examined with the use of laser spectral Doppler flowmetry and thermography. 33 patients had thoracoscopic Th3 ganglion clipation; 16 patients had brachial artery and vein perivascular sympathectomy; 15 patients periarterial sympathectomy on the level of brachial artery. Desympathisation (microcirculatory hemodynamic improvement and trophotropic microcirculation regulatory changes) was mostly apparent after thoracoscopic clipation and perivascular desympatisation in comparison with isolated periarterial sympatectomy.

Keywords:

sympathectomy
microcirculation
complex regional hand pain syndrome
laser spectral Doppler flowmetry

Authors:

Krupatkin A.I.

N.N. Priorov National Research Center of Traumatology and Orthopedics, Ministry of Health of the Russia, Moscow, Russia

Golubev I.O.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut travmatologii i ortopedii im. N.N. Priorova Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

Merkulov M.V.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut travmatologii i ortopedii im. N.N. Priorova Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

Kutepov I.A.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut travmatologii i ortopedii im. N.N. Priorova Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

Maksimov A.A.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut travmatologii i ortopedii im. N.N. Priorova Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

Kuz'michev V.A.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut travmatologii i ortopedii im. N.N. Priorova Ministerstva zdravookhraneniia i sotsial'nogo razvitiia RF, Moskva

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References:

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  2. Krupatkin A.I. Vliyanie sensornoi peptidergicheskoi innervatsii na ostsillyatsii krovotoka kozhi cheloveka v diapazone 0,047-0,069 Gts. Fiziologiya cheloveka 2007; 33: 3: 48-54.
  3. Krupatkin A.I. Kolebaniya krovotoka chastotoi okolo 0,1 Gts v mikrososudakh kozhi ne otrazhayut simpaticheskuyu regulyatsiyu ikh tonusa. Fiziologiya cheloveka 2009; 35: 2: 60-69.
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  10. Raja S.N. Diagnosis of sympathetically maintained pain: the past, present and future. Eur J Pain 1993; 14: 3: 45-49.
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