Evaluation Of The Radiofrequency Ablation Of Lumbar Sympathetic Ganglia In Lower Limb Ischemic Ulcers In Indian Population

International Journal of Medical and Surgical Sciences ◽

10.32457/ijmss.v8i2.1358 ◽

2021 ◽

pp. 1-9

Author(s):

Rajat K Singh ◽

Rajendra Rajendra M kulkarni ◽

Kalpana R Kulkarni ◽

Karthik Karthik Chavannavar

Keyword(s):

Radiofrequency Ablation ◽

Lower Limb ◽

Indian Population ◽

Sympathetic Ganglia ◽

Ischemic Ulcers

Antecedentes: la simpatectomía lumbar mediante radioablación es un tratamiento útil de la isquemia periférica. Sin embargo, la eficacia clínica con respecto a las úlceras de las extremidades inferiores no está suficientemente establecida en la población india. El estudio se realizó para evaluar el papel de la ablación por radiofrecuencia (ARF) de los ganglios simpáticos lumbares en la cicatrización de las úlceras isquémicas del miembro inferior. Método: El estudio prospectivo con 63 pacientes registrados en el servicio de Cirugía General con úlceras isquémicas de miembros inferiores entre diciembre de 2017 y julio de 2019 fueron tratados con ARF. Se excluyó del estudio a los pacientes con enfermedad cardiopulmonar, embarazadas, malformaciones congénitas o infección cutánea en el lugar de la intervención, o que padecían trastornos hemorrágicos. Se realizó una investigación clínica de la herida y se recopilaron datos demográficos. La reducción comparativa en el tamaño de la herida se evaluó mediante el ANOVA de Friedman (P <0,001). La diferencia en la puntuación del dolor, la estancia hospitalaria y la distancia recorrida se evaluaron mediante la prueba de pares emparejados de Wilcoxon (P <0,001), la prueba t para datos no emparejados y la prueba t para datos emparejados (P <0,05). Resultado: la mayoría de los pacientes eran hombres (n = 40) con una edad media de 60,93 DE14,34 años. Se observó una reducción significativa en el tamaño de la herida, las puntuaciones de dolor y la estancia hospitalaria después del procedimiento (P <0,001). El número de sesiones de RFA se asoció significativamente con el tamaño de la úlcera y la clasificación de Fontaine 2 y 3 (P <0,0001). Conclusión: La ARF de los ganglios simpáticos lumbares es una posible modalidad de tratamiento para las úlceras isquémicas de las extremidades inferiores.

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Endothermal ablation for the treatment of clinically significant incompetent lower limb perforating veins: factors influencing the early outcomes

Phlebology The Journal of Venous Disease ◽

10.1177/0268355520955085 ◽

2020 ◽

pp. 026835552095508

Author(s):

Kenneth R Woodburn

Keyword(s):

Radiofrequency Ablation ◽

Laser Ablation ◽

Lower Limb ◽

Closure Rate ◽

Short Treatment ◽

Endovenous Laser Ablation ◽

Perforating Veins ◽

Factors Influencing ◽

Early Closure ◽

Clinically Significant

Background To review the clinical experience and early outcomes of endothermal perforator ablation. Method Retrospective review of an endovenous practice from 2007-2019. Clinically significant incompetent perforators were treated by Endovenous Laser Ablation (EVLA), or segmental radiofrequency ablation (RFA). Result Complete data were available for 110 of the 116 symptomatic incompetent perforating veins treated. Radiofrequency ablation of 20 perforators produced a 55% perforator closure rate, while 90 EVLA perforator ablations resulted in a closure rate of 80%. Closure rates with EVLA varied by location and perforator length. Closure rates for truncal ablation were 95.5% for RFA and 97.2% for EVLA. Conclusion Early closure rates following endothermal ablation of incompetent lower limb perforating veins are lower than those obtained for truncal ablation. EVLA perforator closure appears to be more effective than segmental RFA in most situations but short treatment lengths and location at the ankle are associated with the poorest outcomes.

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Does the addition of alcohol increase the efficacy of radiofrequency ablation of T2 and T3 sympathetic ganglia in hyperhidrosis?

Egyptian Journal of Anaesthesia ◽

10.1016/j.egja.2017.02.003 ◽

2017 ◽

Vol 33 (2) ◽

pp. 147-151

Author(s):

Osama Yehia A. Khalifa ◽

Ahmed Sobhi M.E. Hegab

Keyword(s):

Radiofrequency Ablation ◽

Sympathetic Ganglia

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ESTIMATION OF HEIGHT FROM THE LONG BONES OF LOWER LIMB AND FOOT DIMENSIONS IN SOUTH INDIAN POPULATION

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2014/135 ◽

2014 ◽

Vol 1 (8) ◽

pp. 884-892 ◽

Cited By ~ 1

Author(s):

Nihal Ahmad ◽

Fateh Mohd ◽

Ibrahim Farooque ◽

Shivkumar B C

Keyword(s):

Lower Limb ◽

Indian Population ◽

South Indian Population ◽

Long Bones ◽

South Indian

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Surgical Treatment of Sacral Metastatic Tumors

Frontiers in Oncology ◽

10.3389/fonc.2021.640933 ◽

2021 ◽

Vol 11 ◽

Author(s):

Mengxiong Sun ◽

Dongqing Zuo ◽

Hongsheng Wang ◽

Jiakang Sheng ◽

Xiaojun Ma ◽

...

Keyword(s):

Wound Healing ◽

Radiofrequency Ablation ◽

Pain Relief ◽

Lower Limb ◽

Sacroiliac Joint ◽

Joint Instability ◽

Lower Limb Muscle ◽

Limb Muscle ◽

Percutaneous Radiofrequency Ablation ◽

Pain Symptoms

ObjectiveThis study intends to retrospectively analyze the data of patients with sacral metastases in our center, and analyze the treatment methods and therapeutic effects of sacral metastases.Methods73 patients with sacral metastases treated in our hospital from June 2013 to June 2019 were retrospectively analyzed. There were 54 cases of neurological symptoms, 42 cases of sacroiliac joint instability, 24 cases of lower limb muscle weakness and 19 cases of abnormal urination and defecation. Four patients with tumors below S3 underwent complete tumor resection, 23 patients with tumors above S3 and without sacroiliac joint instability underwent tumor curettage and nerve root lysis, 34 patients with tumors above S3 and sacroiliac joint instability underwent tumor curettage, nerve root release and screw rod reconstruction. 12 patients with multiple metastases underwent percutaneous radiofrequency ablation and sacroplasty. VAS was used to evaluate the preoperative and postoperative pain scores, and the postoperative pain relief, neurological function, bowel function, wound healing and complications were evaluated.ResultsThere were no perioperative death, 8 cases of poor wound healing, 5 cases of nerve injury, postoperative sensory and motor loss of lower limbs. Cerebrospinal fluid (CSF) leak in 7 cases. The patients were followed up for 6-25 months (mean 12 months). The VAS scores of patients with pain symptoms were 7 points before operation and 1.44 points after operation, In 19 patients with abnormal urination and defecation function, 12 patients recovered to normal 3-6 months after operation, 5 cases had no significant change compared with preoperative, and 2 cases had aggravated symptoms; 17 cases of patients with lower limb muscle strength were significantly recovered after operation, and the average muscle strength was increased by 2 grades; 30 cases of patients with unstable sacroiliac joint got internal fixation had significantly pain relief. Pain symptoms of 9 patients were significantly relieved after percutaneous radiofrequency ablation.Conclusionthe operation of sacral metastases mainly adopts a relatively conservative surgical method, which can effectively improve the quality of life of patients with sacral metastases by retaining the nerve function and relieving the pain of patients, combining with radiofrequency ablation, sacroplasty and targeted drugs.

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