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Lumbar Sympathectomy

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PanVascular Medicine

Abstract

Lumbar sympathectomy is a procedure that has been used in the past century for various disease processes. Its role has evolved as treatment modalities for the aforementioned pathologies have advanced. It is currently reserved for patients with complex regional pain syndromes, hyperhidrosis, and vascular disease not amenable to revascularization or other medical therapies.

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References

  • AbuRahma AF, Robinson PA, Powell M, Bastug D, Boland JP (1994) Sympathectomy for reflex sympathetic dystrophy: factors affecting outcome. Ann Vasc Surg 8(4):372–379

    Article  PubMed  CAS  Google Scholar 

  • Baker DM, Lamerton AJ (1994) Operative lumbar sympathectomy for severe lower limb ischaemia: still a valuable treatment option. Ann R Coll Surg Engl 76(1):50–53

    PubMed Central  PubMed  CAS  Google Scholar 

  • Bandyk DF, Johnson BL, Kirkpatrick AF, Novotney ML, Back MR, Schmacht DC (2002) Surgical sympathectomy for reflex sympathetic dystrophy syndromes. J Vasc Surg 35(2):269–277

    Article  PubMed  Google Scholar 

  • Barcroft H, Swan HJC (1953/1954) Sympathetic control of human blood vessels. Arnold, London

    Google Scholar 

  • Benarroch EE, Sandroni P, Low PA (1993) The Valsalva maneuver. In: Low PA (ed) Clinical autonomic disorders: evaluation and management. Little, Brown and Company, Boston, pp 209–216

    Google Scholar 

  • Collins GJ Jr, Rich NM, Clagett GP, Salander JM, Spebar MJ (1981) Clinical results of lumbar sympathectomy. Am Surg 47(1):31–35

    PubMed  Google Scholar 

  • Cronenwett JL, Lindenauer SM (1977) Direct measurement of arteriovenous anastomotic blood flow after lumbar sympathectomy. Surgery 82(1):82–89

    PubMed  CAS  Google Scholar 

  • Cronenwett JL, Lindenauer SM (1980) Hemodynamic effects of sympathectomy in ischemic canine hind limbs. Surgery 87(4):417–424

    PubMed  CAS  Google Scholar 

  • Cronenwett JL, Zelenock GB, Whitehouse W Jr (1983) The effect of sympathetic innervation of canine muscle and skin blood flow. Arch Surg 118(4):420–424

    Article  PubMed  CAS  Google Scholar 

  • Cronenwett JL, Zelenock GB, Whitehouse WM Jr, Lindenauer SM, Graham LM, Stanley JC (1986) Prostacyclin treatment of ischemic ulcers and rest pain in unreconstructible peripheral arterial occlusive disease. Surgery 100(2):369–375

    PubMed  CAS  Google Scholar 

  • Fiessinger JN, Schäfer M (1990) Trial of iloprost versus aspirin treatment for critical limb ischaemia of thromboangiitis obliterans. The TAO Study. Lancet 335(8689):555–557

    Article  PubMed  CAS  Google Scholar 

  • Galen C (1968) De usu partium (trans: May MT). Cornell University Press, Ithaca (Chap 7)

    Google Scholar 

  • Hassantash SA, Afrakhteh M, Maier RV (2003) Causalgia: a meta-analysis of the literature. Arch Surg 138(11):1226–1231

    Article  PubMed  Google Scholar 

  • Holiday FA, Barendregt WB, Slappendel R, Crul BJ, Buskens FG, van der Vliet JA (1999) Lumbar sympathectomy in critical limb ischaemia: surgical, chemical or not at all? Cardiovasc Surg 7(2):200–202

    Article  PubMed  CAS  Google Scholar 

  • Huang J (2002) Letter to the editor: the history of chemical lumbar sympathectomy. Internet J Anesthesiol 7(1)

    Google Scholar 

  • Janoff KA, Phinney ES, Porter JM (1985) Lumbar sympathectomy for lower extremity vasospasm. Am J Surg 150(1):147–152

    Article  PubMed  CAS  Google Scholar 

  • Jeong JY, Park HJ, Park JK, Jo KH, Wang YP, Lee J, Shin JS (2013) Predictive procedure for compensatory hyperhidrosis before sympathectomy: preliminary findings. Thorac Cardiovasc Surg 23

    Google Scholar 

  • Johnson WC, Watkins MT, Baldwin D, Hamilton J (1998) Foot TcPO2 response to lumbar sympathectomy in patients with focal ischemic necrosis. Ann Vasc Surg 12(1):70–74

    Article  PubMed  CAS  Google Scholar 

  • Kramis RC, Roberts WJ, Gillette RG (1996) Post-sympathectomy neuralgia: hypotheses on peripheral and central neuronal mechanisms. Pain 64(1):1–9

    Article  PubMed  CAS  Google Scholar 

  • Langley JN (1903) The autonomic nervous system. Brain 26(1):1–26

    Article  Google Scholar 

  • Lee BY, Ostrander LE, Thoden WR, Madden JL (1987) Effect of lumbar sympathectomy on muscle blood flow: distribution of perfusion measured by hydrogen clearance in skeletal muscle. J Rehabil Res Dev 24(3):1–8

    PubMed  CAS  Google Scholar 

  • Leriche T (1943) Physiologic pathologiqu et chirurgie des arteres. principes et methodes. masson et cie, Paris

    Google Scholar 

  • Leseche G, Nicolet J, Andreassian B (1995) Treatment of primary hyperhidrosis of the upper limbs by transthoracic endoscopic sympathectomy. Presse Med 24:1569–1573

    PubMed  CAS  Google Scholar 

  • Ludbrook J (1966) Collateral arterial resistance in human lower limbs. J Surg Res 6:423

    Article  PubMed  CAS  Google Scholar 

  • May AG, DeWeese JA, Rob CG (1968) Effect of sympathectomy on blood flow in arterial stenosis. Ann Surg 158:182–188

    Article  Google Scholar 

  • Mockus MB, Rutherford RB, Rosales C, Pearce WH (1987) Sympathectomy for causalgia. Patient selection and long-term results. Arch Surg 122(6):668–672

    Article  PubMed  CAS  Google Scholar 

  • Moore WS, Hall AD (1973) Effects of lumbar sympathectomy on skin capillary blood flow in arterial occlusive disease. J Surg Res 14(2):151–157

    Article  PubMed  CAS  Google Scholar 

  • Nesargikar PN, Ajit MK, Eyers PS, Nichols BJ, Chester JF (2009) Lumbar chemical sympathectomy in peripheral vascular disease: does it still have a role? Int J Surg 7(2):145–149

    Article  PubMed  Google Scholar 

  • Olcott C 4th, Eltherington LG, Wilcosky BR, Shoor PM, Zimmerman JJ, Fogarty TJ (1991) Reflex sympathetic dystrophy – the surgeon’s role in management. J Vasc Surg 14(4):488–492; discussion 492–495

    Article  PubMed  Google Scholar 

  • Palumbro LT, Lulu DJ (1963) Lumbar sympathectomy in peripheral vascular disease. Arch Surg 86(3):512–516

    Article  Google Scholar 

  • Persson AV, Anderson LA, Padberg FT Jr (1985) Selection of patients for lumbar sympathectomy. Surg Clin North Am 65(2):393–403

    PubMed  CAS  Google Scholar 

  • Petten CV, Roberts WJ, Rhodes DL (1983) Behavioral test of tolerance for aversive mechanical stimuli in sympathectomized cats. Pain 15(2):177–189

    Article  PubMed  Google Scholar 

  • Quayle JB (1980) Sexual function after bilateral lumbar sympathectomy and aorto-iliac by-pass surgery. J Cardiovasc Surg (Torino) 21(2):215–218

    CAS  Google Scholar 

  • Rieger R, Pedevilla S (2007) Retroperitoneoscopic lumbar sympathectomy for the treatment of plantar hyperhidrosis: technique and preliminary findings. Surg Endosc 21(1):129–135

    Article  PubMed  CAS  Google Scholar 

  • Rieger R, Pedevilla S, Pöchlauer S (2009) Endoscopic lumbar sympathectomy for plantar hyperhidrosis. Br J Surg 96(12):1422–1428

    Article  PubMed  CAS  Google Scholar 

  • Royle ND (1924) A new operative procedure in the treatment of spastic paralysis and its experimental basis. Med J Aust 1:77

    Google Scholar 

  • Sandroni P (1998) Testing the autonomic nervous system. Technical Corner from IASP Newsletter. Nov/Dec

    Google Scholar 

  • Sasajima T, Kubo Y, Inaba M, Goh K, Azuma N (1997) Role of infrainguinal bypass in Buerger’s disease: an eighteen-year experience. Eur J Vasc Endovasc Surg 13(2):186–192

    Article  PubMed  CAS  Google Scholar 

  • Sato J, Perl ER (1991) Adrenergic excitation of cutaneous pain receptors induced by peripheral nerve injury. Science 251(5001):1608–1610

    Article  PubMed  CAS  Google Scholar 

  • Shelley WB, Florence R (1960) Compensatory hyperhidrosis after sympathectomy. N Engl J Med 263:1056–1058

    Article  Google Scholar 

  • Shields RW Jr (1993) Functional anatomy of the autonomic nervous system. J Clin Neurophysiol 10(1):2–13

    Article  PubMed  Google Scholar 

  • Taylor I (1973) Lumbar sympathectomy for intermittent claudication. Br J Clin Pract 27(2):39–44

    PubMed  CAS  Google Scholar 

  • Tissot SA (1778) Traote des nerfs et de leurs maladies, vol 1. Didot Imp, Lausanne (Chap 6)

    Google Scholar 

  • Welch GH, Leiberman DP (1985) Cutaneous blood flow in the foot following lumbar sympathectomy. Scand J Clin Lab Invest 45(7):621–626

    Article  PubMed  CAS  Google Scholar 

  • Winslow B (1732) Exposition anatomique de la structure du corps humain. G Desprez, et J Desessartz, Paris

    Google Scholar 

  • Wittmoser R (1973) Die Retroperitoneoskopie als neue Methode der lumbalen Sympathikotomie. Fortschritte der Endoskopie 4:219–221

    Google Scholar 

  • Yao JS, Bergan JJ (1973) Predictability of vascular reactivity relative to sympathetic ablation. Arch Surg 107(5):676–680

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Babak Abai M.D., FACS .

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Abai, B., Ryan, S.P. (2014). Lumbar Sympathectomy. In: Lanzer, P. (eds) PanVascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37393-0_196-1

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  • DOI: https://doi.org/10.1007/978-3-642-37393-0_196-1

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  • Online ISBN: 978-3-642-37393-0

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