Barw Barw Medical Journal 2960-1959 2023 11 25 The Role of Lumbar Sympathectomy in the Management of Buerger's Disease: A Systematic Review 10.58742/0dfzxe04 eng Helin Hussein Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran. helin.hussein@gmail.com Luqman M. Ali Hassan College of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. luqman.hassan@gmail.com Piwand Abdulkarim Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. paiwand.abdulkarim@gmail.com Suhaib H. Kakamad Collage of Medicine, Department of Immunology and Hematology. Kurdistan University of Medical Science, Sanandaj, Iran. suhaib.kakamad@gmail.com Abdullah K. Ghafour Shahid Peshraw Hospital, Chamchamal, Sulaymaniyah, Kurdistan, Iraq. abdullah.ghafour@gmail.com Imad J. Habibullah Bakhshin Medical Community Halabja, Halabja, Sulaymaniyah, Kurdistan, Iraq. imad23@gmail.com Muhammed Bag A. Ali Smart Health Tower-Raparin, Karux Street, Rania, Sulaymaniyah, Kurdistan, Iraq. muhammed.ali@gmail.com Dlshad Hamasaeed Ahmed Department of Surgery, Shar Teaching Hospital, Malik Mahmud Ring Road, Sulaymaniyah, Kurdistan, Iraq. dlshad.ahmed@gmail.com Deari A. Ismaeil College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. deari.ismaeil@univsul.edu.iq Omer H.G. Hawramy Department of Surgery, Shar Teaching Hospital, Malik Mahmud Ring Road, Sulaymaniyah, Kurdistan, Iraq. omar.hawrami@gmail.com Hemn H. Kaka Ali Department of Surgery, Shar Teaching Hospital, Malik Mahmud Ring Road, Sulaymaniyah, Kurdistan, Iraq. hemn.ali@gmail.com Hiwa O. Abdullah Ganj Organization for Strengthening Youth Abilities, Sulaymaniyah, Kurdistan, Iraq.. hiewaom96@gmail.com Berun A. Abdalla Department of Biology, College of Education, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. berun.anwer95@gmail.com Shvan H. Mohammed Xzmat Polyclinic, Rizgari, Kalar, Sulaymaniyah, Kurdistan, Iraq. shvanh80@gmail.com Fahmi H. kakamad College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. fahmi.hussein@univsul.edu.iq 2023 10 20 Abstract Introduction Lumbar sympathectomy has been explored to manage Buerger's disease (BD) with varying success rates, but the results are often controversial. Despite the substantial morbidity associated with BD, there is a scarcity of comprehensive reviews on the topic. The current study is a systematic review of the efficacy of lumbar sympathectomy in the management of BD. Methods A meticulous systematic exploration was conducted across reputable databases and search platforms. The search strategy employed the following keywords:(lumbar sympathetic OR sympathectomy OR lumbar sympathetic block) AND (Buerger's disease OR Buerger OR thromboangiitis obliterans OR lower limb disease). Out of 42 identified studies, 16 were excluded during the initial screening phase. Following initial and full-text screenings, 10 studies remained eligible. The assessment of studies regarding the inclusion criteria was conducted independently by two authors, with a third author intervening to arbitrate any discrepancies. Results The demographic characteristics revealed that all participants were male, with a mean age of 38.9 years. Smoking prevalence among the cases was notably high (99%). Chemical sympathectomy was the predominant intervention, employed in 87.8% of cases, while surgical sympathectomy was utilized in only 12.2% of cases. Among the cases, 8.7% achieved complete resolution from the disease, while 91.3% reported partial relief. Conclusion Lumbar sympathectomy can be a viable treatment option for BD with fair outcomes. Nevertheless, smoking cessation remains the primary factor impeding disease progression and aggressiveness.