Raynaud's syndrome. Medical and surgical treatment

Introduccion: In advanced stages of Raynaud arises the need to complement the conservative measures with a surgical treatment that diminishes the severity of patient affectation. However, there is sometimes a lack of knowledge among specialists to make decisions about the best choic, medication or surgical therapy. Objective: to summarize the current knowledge, updating the medical and surgical treatment of the Raynaud phenomenon. Development: during the period December 2016-February 2017, a documentary review of studies of the last 15 years that included any of the following keywords: "Raynaud's syndrome", "Raynaud's phenomenon", "pharmacological measures", " Surgical treatment" was carried out. Criteria used for the selection of articles to be reviewed were determined by the purpose of the review. Languages of search were Spanish and English. Articles included cohort studies, article reviews, prospective and retrospective studies, and were located in specialized databases such as Medline, Scielo and Science Direct. As a result of the search 38 articles were collected, of which 10 were discarded since the date of publication was not within the selection range, 7 papers, which did not show evidence of the validity of their results, or the Criteria used for its interpretation were also discarded, finally 21 articles were selected, which were analyzed in detail. Conclusions: like all surgical techniques, both the debridement of the necrotic or infected tissue, as well as the sympathectomy; whether open surgery, thoracoscopy or digital, bone marrow electrical stimulation and vascular reconstruction, are not risk free. However, it is important to socialize the existence of several treatment options, in order to increase the knowledge of multidisciplinary team members such as rheumatologists, traumatologists, psychologists and cosmetic surgeons, as well as their range of educational-therapeutic choice, to offer the patient different surgical procedures alternatives.