Single-stage lumbar sympathectomy and omentopexy: a new surgical approach towards patients with Buerger's disease

Single-stage lumbar sympathectomy and omentopexy were performed in six pati ents with Buerger's disease at the Department of Surgery, Jawahar Lal Nehru Medical College and Hospital, Ajmer, India, between January 1994 and Decem ber 1996. All were male smokers and had limb coldness, intermittent claudic ation and rest pain. Four had limb discoloration and three had ulcers of to es unresponsive to medical treatment. Postoperatively there was relief of s ymptoms in all, with improvement of tissue oxygen saturation and increase i n claudication distance. We conclude that single-stage lumbar sympathectomy and omentopexy is an effective new surgical approach towards patients with Buerger's disease.