par Vanderstricht, Jean
Référence Tijdschrift voor geneeskunde, 36, 16, page (947-948)
Publication Publié, 1980
Article révisé par les pairs
Résumé : Except for the restoration of a causal injury there is no place for surgery as long as the clinical picture remains confined to a Raynaud's phenomenon, a paroxysmal ischemic condition. Surgery is important only on the day when the phenomenon is replaced by a permanent ischemic condition. Surgery is necessary in the Raynaud syndrome when a causal injury can be corrected. Thoracic sympathectomy can be considered every now and then when the phenomenon of Raynaud evolves towards a condition of permanent ischemia. Surgery - especially thoracic sympathectomy - is indicated in rare cases in which Raynaud's disease is complicated by digital arteritis and thus when the phenomenon is transformed into permanent ischemia. There is no surgery for sclerodermia.