We hope to assist patients, as well as family, and friends of those who suffer from Reflex Sympathetic Dystrophy (RSD) or more recently known as Complex Regional Pain Syndrome (CRPS). This organization was formed in July 1990; and since then, has sent information regarding RSD/CRPS to hundreds of thousands patients and professionals worldwide. The free information we offer will help educate and inform you, your family, friends as well as your physician regarding the signs, symptoms, diagnosis and the latest methods of treatment for RSD/CRPS.
RSD Article # 14
The following article was published in the book Clinical Aspects of Reflex Sympathetic Dystrophy, written by Dr. Peter Veldmand from the Department of Surgery, University Hospital Nijmegen, The Netherlands.
Below is an abstract from Chapter 12 from the book Clinical Aspects of Reflex Sympathetic Dystrophy.
Please click on the link below to view the full text of this article in PDF-format.
SURGERY ON EXTREMITIES WITH REFLEX SYMPATHETIC DYSTROPHY
Peter H.J.M. Veldman M.D. R. Jan A. Goris M.D., Ph.D.
Department of Surgery, University Hospital Nijmegen, The Netherlands
Der Unfallchirurg. In press
Surgery in extremities suffering from reflex sympathetic dystrophy (RSD) is generally avoided because it is presumed that RSD will recur or worsen. In order to study this problem we analyzed our patients. The affected limb of 47 patients suffering from RSD was operated on for various reasons. If possible, the operation was postponed until signs and symptoms of RSD in rest decreased and perfusion of the affected limb was optimized; tourniquet hemostasis was avoided; and preoperative intravenous infusion of mannitol was administered. Recurrence of RSD was seen in 6 patients (13%). This recurrence was mild and temporary in B patients, but serious and permanent in 1 patient Surgery on limbs suffering from RSD is not as dangerous as widely believed, but one should be aware of the risk of recurrence of RSD when surgery is being considered.
Peter H.J.M. Veldman, M.D., et, al. Surgery On Extremities With Reflex Sympathetic Dystrophy, Thesis- Clinical Aspects Of Reflex Sympathetic Dystrophy, Chapter 12:141-147.