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Upper dorsal sympathectomy.

F D Manart, T R Sadler, E A Schmitt

    American Journal of Surgery
    |December 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Upper dorsal sympathectomy provides satisfying results for vasospastic disorders and hyperhidrosis. While complication rates are low, outcomes vary by age, sex, and procedure laterality.

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    Area of Science:

    • Thoracic Surgery
    • Vascular Surgery
    • Neurology

    Background:

    • Upper dorsal sympathectomy is a surgical procedure targeting the sympathetic nervous system.
    • Indications include vasospastic disorders, hyperhidrosis, causalgia, and vaso-occlusive conditions.

    Purpose of the Study:

    • To evaluate the long-term outcomes and safety of upper dorsal sympathectomy.
    • To identify factors influencing surgical success and complications.

    Main Methods:

    • A retrospective review of 76 upper dorsal sympathectomy procedures over 20 years.
    • Procedures involved resection from the stellate ganglion to the fourth thoracic ganglion.
    • Surgical approaches included transaxillary and anterior methods.

    Main Results:

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    • Satisfying results were observed for vasospastic disorders and hyperhidrosis.
    • Acceptable outcomes were noted for causalgia and vaso-occlusive disorders.
    • Low complication rates and incidence of Horner's syndrome were reported. Female patients and bilateral procedures showed less favorable results.

    Conclusions:

    • Upper dorsal sympathectomy is effective for specific indications, particularly when refractory to conservative treatment.
    • Patient demographics and procedure laterality can influence outcomes.
    • The procedure demonstrates a favorable safety profile with low complication rates.