Surgical Strategies in the Management of Raynaud's Phenomenon: Comparative Analysis of Trends and Effectiveness Incorporating New Clinical Data

Authors

  • Aleksandra Cygnarowicz Bonifraters Medical Center sp. z o. o. Branch in Krakow, Trynitarska 11 St., 31-061 Krakow, Poland https://orcid.org/0009-0002-2208-0104
  • Mariola Turemka Voivodeship Hospital in Bialystok Marii Skladowskiej-Curie 26 St., 15-278 Bialystok, Poland https://orcid.org/0009-0001-8219-6515
  • Negar Hosseinnejad The 5 Military Clinical Hospital with Polyclinic SPZOZ in Cracow, Wroclawska Street 1/3, 30-901 Cracow, Poland https://orcid.org/0009-0002-3552-9513
  • Karolina Sacher Silesian Center for Heart Diseases Zabrze, Marii Skłodowskiej-Curie 9 St., Zabrze, Poland https://orcid.org/0009-0001-8875-5912
  • Aneta Klaudia Wojtas Municipal Hospital in Siemianowice Śląskie sp. z o.o., 1. Maja 9 St., 41-100 Siemianowice Śląskie, Poland https://orcid.org/0009-0002-6072-1232
  • Krystyna Zabojska Hospital of Our Lady of Perpetual Help in Wolomin, Gdynska 1/3, 05-200 Wolomin, Poland https://orcid.org/0009-0002-6962-0497
  • Mikołaj Biskupski Department of Interventional Cardiology and Cardiac Arrhythmias, Teaching Hospital No. 2 of the Medical University of Lodz, Zeromskiego Street 113 90-549 Lodz, Poland https://orcid.org/0009-0009-8103-4053
  • Urszula Korotko The Provincial Specialist Hospital in Ciechanów, Powstańców Wielkopolskich 2 St., 06-400 Ciechanów, Poland https://orcid.org/0009-0004-9226-6451
  • Kinga Witowska The 5 Military Clinical Hospital with Polyclinic SPZOZ in Cracow, Wroclawska Street 1/3, 30-901 Cracow, Poland https://orcid.org/0009-0003-2389-4887
  • Aneta Mandziuk Independent Public Health Care Facility of the Ministry of Interior and Administration in Białystok/ Fabryczna Street 27 15-471 Białystok, Poland https://orcid.org/0009-0001-2787-9479

DOI:

https://doi.org/10.12775/JEHS.2024.76.56561

Keywords

raynaud's phenomenon, sympathectomy, arterial bypass, venous arterialization

Abstract

Introduction and objective

Raynaud's phenomenon is a condition of unknown origin and complex pathophysiology, characterized by an excessive sensitivity to vasoconstriction of arteries in the hands, feet, auricles and nose, leading to a characteristic constellation of symptoms with at least two phase course: pallor and cyanosis. The aim of this work is to review surgical techniques for treating patients with Raynaud's phenomenon and to attempt to determine whether the results of current studies may support earlier initiation of surgical treatment.

Review methods

To prepare this review, the authors used PubMed and Google Scholar databases, searching the following keywords: "Raynaud's phenomenon", "Raynaud's phenomenon surgical management", "digital artery reconstruction" "sympathectomy", "arterial bypass", "venous arterialization". The search results were limited to studies in English from 2006 to 2024, as well as key studies from earlier years.

Brief description of the state of knowledge

Currently, patients who are qualified for surgical treatment in the course of Raynaud's phenomenon are those who have symptoms or non-healing ulceration despite of an appropriate pharmacological treatment. Current therapy using calcium channel blockers does not bring full satisfaction to patients. Therefore, the search for optimal therapy continues, with a particular focus on the development of microsurgical treatment techniques.

Summary

The occurrence of Raynaud's phenomenon, especially the pain and discomfort associated with it, significantly reduces patients' quality of life. Due to advances in the field of microsurgery and the discovery of new mechanisms responsible for the development of Raynaud's phenomenon, earlier patient qualification for surgical procedures is becoming possible. This gives hope for further development of surgical approaches and improvements in treatment outcomes.

Keywords: Raynaud's phenomenon; sympathectomy; arterial bypass; venous arterialization

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2024-12-20

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CYGNAROWICZ, Aleksandra, TUREMKA, Mariola, HOSSEINNEJAD, Negar, SACHER, Karolina, WOJTAS, Aneta Klaudia, ZABOJSKA, Krystyna, BISKUPSKI, Mikołaj, KOROTKO, Urszula, WITOWSKA, Kinga and MANDZIUK, Aneta. Surgical Strategies in the Management of Raynaud’s Phenomenon: Comparative Analysis of Trends and Effectiveness Incorporating New Clinical Data. Journal of Education, Health and Sport. Online. 20 December 2024. Vol. 76, p. 56561. [Accessed 28 June 2025]. DOI 10.12775/JEHS.2024.76.56561.

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Vol. 76 (2024)

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Medical Sciences

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Copyright (c) 2024 Aleksandra Cygnarowicz, Mariola Turemka, Negar Hosseinnejad, Karolina Sacher, Aneta Klaudia Wojtas, Krystyna Zabojska, Mikołaj Biskupski, Urszula Korotko, Kinga Witowska, Aneta Mandziuk

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