| The role of sympathectomy in current surgical practice. | |
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MedLine Citation:
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PMID: 8181604 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Historically sympathectomy has been employed in the treatment of a variety of disparate disorders but in most there is little if any objective clinical evidence of its efficacy. Review of the literature confirms that sympathectomy provides an effective and permanent cure for hyperhidrosis of the hands and feet, and at present palmar hyperhidrosis is the major indication for its regular use. Sympathetic denervation of the hands is currently most easily achieved with minimal morbidity by thoracoscopic ablation of the second thoracic ganglion. Some evidence testifies to the efficacy of sympathectomy in the rare patients with true major causalgia. Clinical experience suggests that Raynaud's phenomenon in the feet can be usefully ameliorated by sympathectomy but in the hands any benefit is short lived and there is no effect on the prognosis of the disease. A weak case can be made for sympathectomy for ischaemic rest pain when arterial surgery is impractical but there is no reliable evidence to support its use in Buerger's disease, intermittent claudication, diabetic vascular disease or ischaemic ulceration or gangrene. |
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Authors:
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A Gordon; K Zechmeister; J Collin |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: European journal of vascular surgery Volume: 8 ISSN: 0950-821X ISO Abbreviation: Eur J Vasc Surg Publication Date: 1994 Mar |
Date Detail:
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Created Date: 1994-06-16 Completed Date: 1994-06-16 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8709440 Medline TA: Eur J Vasc Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 129-37 Citation Subset: IM |
Affiliation:
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University of Oxford, Nuffield Department of Surgery, John Radcliffe Hospital, U.K. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Causalgia
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surgery* Ganglionectomy Humans Hyperhidrosis / surgery* Lumbosacral Region Postphlebitic Syndrome / surgery* Raynaud Disease / surgery* Sympathectomy* Thromboangiitis Obliterans / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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