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Thoracodorsal sympathectomy en bloc

  • H. A. J. Lemmens
Part of the Developments in Surgery book series (DISU, volume 1)

Abstract

Although the numbers admittedly are still small, it is becoming evident that there is a difference between thoracic sympathectomy and thoracodorsal sympathectomy en bloc, both subjectively and objectively as demonstrated with Doppler flow-measurements and that it is necessary to resect the nerve of Kuntz.

The best indications for the “en bloc resection” are:
  • in the first place, Raynaud’s phenomenon sine scleroderma

  • secondly Sudeck’s atrophy

  • and finally the asphyctic finger and dying digit.

The final result however depends on the course and progression of the underlying disease.

Keywords

Sympathetic Innervation Stellate Ganglion Ulnar Artery Intercostal Nerve Spinal Ganglion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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    R.M. Baddeley. The place of upper dorsal sympathectomy in the treatment of primary Raynaud’s disease. Brit. J. Surgery 52: 426, 1965CrossRefGoogle Scholar
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    J.H. Burn. Sympathetic vasodilator fibres. Phys. Rev. 18: 137, 1938Google Scholar
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    DA. Felder, F.A. Simeone, R.R. Linton, CE. Welch. Surgery 26: 1014, 1949PubMedGoogle Scholar
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    H. Foersters. Verhandl. Dtsch. Ges. Inn. Med. 253, 1939Google Scholar
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    B. Folkow. The nervous control of bloodvessels. In: The control of the circulation of the blood. Ed. by R.J.S. McDowall. London, Dawson, 1956.Google Scholar
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    R.H. Goetz, J.A.S. Marr. The importance of the second thoracic ganglion for the sympathetic supply of the upper extremities. Clin. Proc. 3: 102, 1944Google Scholar
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    A. Kuntz. Distribution of the sympathetic rami to the brachial plexus. Arch. Surg. 15: 871, 1927Google Scholar
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    B. Uvnäs. Sympathetic vasodilator outflow. Physiol. Rev. 34: 608, 1954PubMedGoogle Scholar

Copyright information

© Martinus Nijhoff Publishers, The Hague/Boston/London 1979

Authors and Affiliations

  • H. A. J. Lemmens
    • 1
  1. 1.Surgical DepartmentLimburg UniversityMaastrichtThe Netherlands

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