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Pulmonary functional abnormalities after upper dorsal sympathectomy

M Molho, A Kurchin, A Ohry

    The American Review of Respiratory Disease
    |November 1, 1977
    PubMed
    Summary
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    Upper dorsal sympathectomy significantly reduced lung volumes and expiratory flows in patients. However, pulmonary function showed improvement in some patients after 6 to 8 months post-surgery.

    Area of Science:

    • Thoracic surgery
    • Pulmonary physiology
    • Surgical outcomes

    Background:

    • Upper dorsal sympathectomy is a surgical procedure affecting the sympathetic nervous system.
    • The impact of this surgery on respiratory function is not fully understood.
    • Assessing pulmonary changes post-sympathectomy is crucial for patient management.

    Purpose of the Study:

    • To evaluate the immediate and short-term effects of upper dorsal sympathectomy on pulmonary function.
    • To investigate the potential for recovery of lung function after the procedure.

    Main Methods:

    • Pulmonary function tests were conducted on 15 patients.
    • Measurements were taken before and 1-3 months after upper dorsal sympathectomy.
    • Serial pulmonary function tests were performed on 3 patients over 6-8 months.

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    Main Results:

    • A significant decrease in lung volumes was observed post-surgery.
    • Maximal expiratory flows were also significantly reduced after the procedure.
    • Three patients demonstrated functional improvement between 6 and 8 months post-operation.

    Conclusions:

    • Upper dorsal sympathectomy leads to significant, acute reductions in pulmonary function.
    • Lung function may show a trend toward recovery in some individuals over a longer period.
    • Further research is warranted to understand the long-term respiratory implications.