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New procedure to prevent phantom pain after limb amputation • healthcare-in-europe.com

New procedure to prevent phantom pain after limb amputation • healthcare-in-europe.com


I know the technique, but it’s like setting up a camping tent: in practice it can be slightly different. You need to have done it a few times to get it exactly right

Jan van Schaik

The technique described by Groen is not new. In practice, it has already been shown that the method works. However, this procedure is usually performed only after a patient has developed post-amputation pain, often weeks or months after the amputation itself. The downside is that the patient has to undergo surgery again. 

The LUMC and six other Dutch hospitals want to perform the nerve surgery preventively, at the time when the leg is being amputated and the patient is still on the operating table. To provide definitive scientific proof that the method works, the involved centers, led by the LUMC, will start a study this summer. Doctors estimate that the nerve surgery will only add half an hour to the operation time. 

For the study, nerve surgeons and vascular surgeons at the LUMC will work closely together. Initially, the vascular surgeon will perform the amputation and the neurosurgeon will connect the nerve. Later, the aim is for vascular surgeons to also perform the nerve procedure. Vascular surgeon Jan van Schaik: “I know the technique, but it’s like setting up a camping tent: in practice it can be slightly different. You need to have done it a few times to get it exactly right. That’s why we will do it together the first few times.” 

The study will involve 260 patients with peripheral arterial disease (also known as claudication), who need to undergo a leg amputation. The nerve surgery could also benefit people who lose a leg for other reasons in the future. The first results of the new study are expected in five years. 

Source: Leiden University Medical Center



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