The Role of Lumbar Sympathectomy in the Management of Buerger's Disease: A Systematic Review Helin Hussein, Luqman M. Ali Hassan, Piwand Abdulkarim, Suhaib H. Kakamad, Abdullah K. Ghafour, Imad J. Habibullah, Muhammed Bag A. Ali, Dlshad Hamasaeed Ahmed and 7 more 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… 2023 2,457 reads 0 citations doi:10.58742/0dfzxe04 Full text PDF XML Read abstract — read the abstract for The Role of Lumbar Sympathectomy in the Management of Buerger's Disease: A Systematic Review Review Articles The Role of Lumbar Sympathectomy in the Management of Buerger's Disease: A Systematic Review Helin Hussein, Luqman M. Ali Hassan, Piwand Abdulkarim, Suhaib H. Kakamad, Abdullah K. Ghafour, Imad J. Habibullah, Muhammed Bag A. Ali, Dlshad Hamasaeed Ahmed and 7 more 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. MethodsA 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. ResultsThe 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. ConclusionLumbar sympathectomy can be a viable treatment option for BD with fair outcomes. Nevertheless, smoking cessation remains the primary factor impeding disease progression and aggressiveness. Keywords Buerger's Disease · Thromboangiitis obliterans · Peripheral ischemia · Sympathectomy · Thrombosis All subjects Barw Medical Journal. 2023 Read the article PDF XML
Behcet’s Disease Presenting with Focal Fibrosing Mediastinitis and SVC Thrombosis: A Case Report with Review of Literature Soran H. Tahira, Fahmi H. Kakamad, Dlsoz M. Hussein, Shorsh A. Mohammed, Rezheen J. Rshid, Karzan M. Salih, Shvan H. Mohammed, Hussein M. Hamasalih and 1 more Introduction Behcet's disease is a rare, multisystemic disease marked by vasculitis and a triad of recurrent oral and genital mucosa ulcers, as well as relapsing uveitis and thrombophlebitis. Mediastinal fibrosis is extremely rare in Behcet's disease. Case presentation We present ultrasound and computed tomography (CT… 2023 690 reads 0 citations doi:10.58742/bmj.v1i2.23 Full text PDF XML Read abstract — read the abstract for Behcet’s Disease Presenting with Focal Fibrosing Mediastinitis and SVC Thrombosis: A Case Report with Review of Literature Case Reports Behcet’s Disease Presenting with Focal Fibrosing Mediastinitis and SVC Thrombosis: A Case Report with Review of Literature Soran H. Tahira, Fahmi H. Kakamad, Dlsoz M. Hussein, Shorsh A. Mohammed, Rezheen J. Rshid, Karzan M. Salih, Shvan H. Mohammed, Hussein M. Hamasalih and 1 more IntroductionBehcet's disease is a rare, multisystemic disease marked by vasculitis and a triad of recurrent oral and genital mucosa ulcers, as well as relapsing uveitis and thrombophlebitis. Mediastinal fibrosis is extremely rare in Behcet's disease. Case presentationWe present ultrasound and computed tomography (CT scan) in a 26-year male with mediastinal fibrosis and superior vena cava (SVC) thrombosis, with thrombus in left internal jugular veins (IJV) associated with Behcet’s disease. ConclusionBehcet's disease can cause mediastinal fibrosis in rare cases. CT and MRI are efficient methods for detecting mediastinal fibrosis and superior vena cava thrombosis. Keywords Complication · Thrombosis · Fibrosing mediastinitis · Superior vena cava thrombosis · Behcet's disease All subjects Barw Medical Journal. 2023;1(2) Read the article PDF XML
