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The high thoracic sympathetic nerve system--its anatomic variability.

E van Rhede van der Kloot, J Drukker, H A Lemmens

    The Journal of Surgical Research
    |February 1, 1986
    PubMed
    Summary
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    Thoracic sympathectomy effectiveness is impacted by higher-than-expected anatomical variability. A complex network of nerves and nerve cells connecting the sympathetic and spinal nervous systems was observed in surgical specimens.

    Area of Science:

    • Anatomy
    • Neuroscience
    • Surgical Pathology

    Background:

    • Thoracic sympathectomy is a surgical procedure targeting the sympathetic nervous system.
    • Previous anatomical descriptions may not fully capture the complexity of sympathetic-spinal nerve connections.

    Purpose of the Study:

    • To investigate the detailed anatomy of the sympathetic nervous system in relation to the spinal nervous system.
    • To assess the anatomical variability in upper thoracic sympathectomy specimens.

    Main Methods:

    • Microscopic and macroscopic examination of 18 upper thoracic sympathectomy resection preparations.
    • Detailed analysis of nerve bundle networks and cellular structures.

    Main Results:

    • Significant anatomical variability in the sympathetic and spinal nervous system connections was observed.

    Related Experiment Videos

  • A dense network of small and large nerve bundles interconnecting these systems was identified.
  • Light microscopical perikarya were present within numerous nerve bundles.

    • Conclusions:

    • The intricate anatomical network challenges previous understandings of thoracic sympathectomy.
    • Findings suggest a need to reconsider the conceptualization of thoracic sympathectomy effectiveness due to anatomical complexity.