Sympathectomy may provide temporary pain relief, but after a few weeks to months it loses its effect. Sympathectomy and the application of Chemical Sympathectomy (neurolytic agents e.g., phenol, alcohol, etc.) should be limited to patients with life expectancies measured in weeks or months e.g., cancer patients. Chemical Sympathectomy (e.g., alcohol, phenol or hypertonic saline nerve blocks) ai...

BACKGROUND With the easier and earlier recognition of complex regional pain syndrome (CRPS), a reappraisal of its therapy, particularly the role and timing of sympathectomy, is warranted. PATIENTS AND METHODS Over a 9-year period, 42 patients with CRPS type II of the upper extremity were referred for sympathectomy. Patients were categorized according to the duration of the symptoms (group I, ...

Local sympathetic denervation by surgical sympathectomy is used in the treatment of lower limb ulcers and ischemia, but the restoration of cutaneous sympathetic nerve functions is less clear. This study aims to explore the recovery of cutaneous sympathetic functions after bilateral L2-4 sympathectomy. The skin temperature of the left feet, using a point monitoring thermometer, increased intraop...

[17] Doblas M, Gutierrez R, Fontcuberta J, Orgaz A, Lopez P, Criado E. Thoracodorsal sympathectomy for severe hyperhidrosis: posterior bilateral versus unilateral staged sympathectomy. Ann Vasc Surg 2003; 17:97–102. [18] Lardinois D, Ris HB. Minimally invasive video-endoscopic sympathectomy by use of a transaxillary single port approach. Eur J Cardiothorac Surg 2002;21:67–70. [19] Ojimba TA, Ca...

OBJECTIVES In order to elucidate the influence of sympathetic nerves on lumbar radiculopathy, we investigated whether sympathectomy attenuated pain behaviour and altered the electrical properties of the dorsal root ganglion (DRG) neurons in a rat model of lumbar root constriction. METHODS Sprague-Dawley rats were divided into three experimental groups. In the root constriction group, the left...

AIM To study the influence of sympathectomy on nerve regeneration in human extremities. MATERIAL AND METHODS Autoneuroplasty was performed in 86 patients with posttraumatic defects of median and ulnar nerves: in 42 cases in combination with sympathectomy (thoracoscopic clipping of Th3-4 sympathetic ganglions) and in 44 cases without sympathectomy. Computer thermography, laser Doppler flowmetr...

INTRODUCTION Plantar hyperhidrosis is present in 50% of patients with hyperhidrosis. Thoracic sympathectomy is an important tool for the treatment of this condition, which is successful in about 60% of patients. For the remaining patients, lumbar sympathectomy is the procedure of choice. As new minimally invasive techniques have been developed, a significant demand for this type of access has l...

Pressure Ulcers (PUs) severely impair patient quality of life and account for a high percentage of annual healthcare costs. Lumbar sympathectomy has previously been used for the treatment of chronic leg ulcers. It is still unclear, however, whether lumbar sympathectomy accelerates wound healing in sacrococcygeal skin, a high-risk area for PUs in mostly bedridden patients. Thirty-six Sprague Daw...

background: primary hyperhidrosis (ph) refers to excessive sweating, beyond normal physiological levels, in specific sites of the body for unknown reasons. it is usually bilateral and is most prominent in the palms, axillae, feet, and face. ph prevalence is estimated to be 0%-6.1% in different populations. it usually begins in childhood and is more frequent in women. in 57% of cases, there is a...

Primary hyperhidrosis (PH) is a condition that has a great impact on affected individuals' quality of life, regardless of its location. Its surgical treatment is done through thoracic sympathectomy performed by videothoracoscopy. Standardization of the technique includes section of the sympathetic trunk at different levels, according to the site of symptoms. The aim of this review is to evaluat...