An Observational Study to Analyze Outcome of Omentopexy in Buerger’s Disease in Tertiary Care Center

Abstract

Thromboangiitis obliterans (TAO) or Buerger’s disease (BD) is a non-atherosclerotic, segmental occlusive inflammatory disease that commonly affects small and medium arteries and veins in the upper and lower limbs. Our purpose of this study was to evaluate outcome of lumbar sympathectomy and omentopexy in patients with Buerger’s disease by assessing neovascularization and good clinical recovery. Thirty consecutive patients underwent omentopexy for Buerger’s disease of lower limb from June 2019 to June 2020 in our institute. Patients were followed up for 3 months postoperatively for relief of intermittent claudication and rest pain. The ulcer and amputation site healing were assessed. The oxygen saturation level was also measured and postoperative complication was noted. The mean age was 45 ± 5.5 years and male to female ratio was 29:1. Out of 30 patients, 26 (86.7%) patients had omentopexy up to below knee level, 3 (10%) patients at ankle level, and 1 (3.3%) patient up to above knee level. All patients had relief of rest pain and 25 (83.3%) patients had relief of intermittent claudication on 3rd month. Three patients who had non-healing ulcers showed ulcer healing and 27 patients who had gangrene showed healing at amputation site at 3rd month. Omentopexy improve oxygen saturation and temperature of the affected limb and helps in clinical recovery in terms of relief in intermittent claudication, rest pain, and ulcer healing. Thus, it can be considered as an effective modality for the management of Buerger’s disease as limb salvage procedure.