Chronic limb ischemia can be difficult to treat. Medications and an exercise regimen are the first line of treatment. Should these measures fail, patients may benefit from endovascular intervention. However, with rest pain or tissue loss patients may require a bypass or repeated endovascular interventions. Some patients, despite a surgeon’s best efforts, continue to have poor blood flow and failed interventions. This is especially true for those patients with very poor vessels of the lower calf and foot. If a patient continues to have rest pain and other surgical and endovascular options have been exhausted, patients may benefit from a lumbar sympathectomy.
A lumbar sympathectomy is a surgical procedure that may help dilate small blood vessels in the skin and subcutaneous tissues. By cutting the nerves responsible for arterial constriction this can help decrease pain and improve circulation. Patients requiring this procedure are admitted to the hospital and usually undergo general anesthesia. A small incision is made in the patient’s lower abdomen. Internal organs and tissue are moved medially to reveal the sympathetic nerve roots. These are cut and the incision is closed. Patients tend to tolerate this procedure well and can return home in several days with minimal down time.
It is important to remember that this procedure is a last resort. Patients may feel better for some time. However, ultimately, patients often require an amputation.
A lumbar sympathectomy is a highly specialized operation that requires specific training. Dr. Jenna Kazil is a superb vascular surgeon in Bradenton, FL who has completed a fellowship in vascular surgery and where she has demonstrated her expertise in performing these types of procedures. She sees patients at the Florida Surgical Clinic and has an impressive track record of helping patients with these symptoms find relief. Dr. Kazil is a surgical specialist that not only performs vascular surgical procedures but general surgery procedures as well. Patients looking for the best vascular surgical specialist should visit the Florida Surgical Clinic to discuss the wide variety of operations their surgeon are trained to perform. The Florida Surgical Clinic and its amazing surgical specialist serves the West coast of Florida population mainly in Manatee, Sarasota, Hillsborough and Pinellas counties. Anyone looking for a talented vascular surgeon should contact Dr. Kazil for an appointment.