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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.

RSD Article #14



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.