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Axillary sympathectomy for upper extremities

B Man, L Kraus, A Motovic

    Vascular Surgery
    |May 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    The axillary approach is the preferred surgical method for cervico-dorsal sympathetic system procedures, offering complete sympathectomy with a smooth recovery. Potential complications like Horner

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    Area of Science:

    • Thoracic Surgery
    • Neurosurgery
    • Surgical Approaches

    Background:

    • Cervico-dorsal sympathetic system disorders require effective surgical intervention.
    • Various surgical approaches exist, each with unique advantages and disadvantages.

    Purpose of the Study:

    • To evaluate the axillary approach as a preferred surgical method for cervico-dorsal sympathectomy.
    • To assess the efficacy and safety of the axillary approach.

    Main Methods:

    • Surgical intervention utilizing the axillary approach for cervico-dorsal sympathectomy.
    • Targeting sympathetic ganglions from the stellate ganglion down to the fifth thoracic ganglion.

    Main Results:

    • The axillary approach provided excellent access to target sympathetic ganglions.

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  • Clinically complete sympathectomy was achieved in all cases.
  • The postoperative course was generally smooth.

    • Conclusions:

    • The axillary approach is a simple and effective "operation of choice" for cervico-dorsal sympathectomy.
    • Transient complications such as Horner's syndrome, pneumothorax, and hemothorax were noted but potentially avoidable.