Raynaud Phenomenon (cont.)
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Surgery for Raynaud's Phenomenon
Surgery is rarely offered as a cure for Raynaud's phenomenon. When symptoms cannot be managed and medications are inadequate or have too many side effects, surgical sympathectomy may be offered. This is a rare procedure and is almost never done, since the sympathetic discharge is already at its maximum. Surgical sympathectomy was done in the past with almost no benefit. If the tip of the toe or finger tip is necrotic or gangrenous, amputation may be required, but this is not common.
More commonly, a simple digital sympathectomy can be performed by interrupting the nerves of the palm of the hand to restore circulation to the fingers.
Shabir Bhimji, MD
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