Digital sympathectomy
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Ischaemic (dying) index and middle fingertips due to poor blood supply in scleroderma |
The patient is asleep. The hand is placed on a special suppotive table. The skin incisions are marked |
The middle finger is opened up. Note the fat under the skin and the tendons running up the middle of the finger |
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The middle finger nerves and arteries are exposed |
The index finger nerves and arteries are exposed. The fine layer on top of the arteries is stripped off to improve the finger blood supply |
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