The amount of compensatory sweating depends on the patient, the damage that the white rami communicans incurs, and the amount of cell body reorganization in the spinal cord after surgery.
Other potential complications include inadequate resection of the ganglia, gustatory sweating, pneumothorax, cardiac dysfunction, post-operative pain, and finally Horner’s syndrome secondary to resection of the stellate ganglion.
www.ubcmj.com/pdf/ubcmj_2_1_2010_24-29.pdf

After severing the cervical sympathetic trunk, the cells of the cervical sympathetic ganglion undergo transneuronic degeneration
After severing the sympathetic trunk, the cells of its origin undergo complete disintegration within a year.
http://onlinelibrary.wiley.com/doi/10.1111/j.1439-0442.1967.tb00255.x/abstract

Wednesday, January 16, 2008

SYMPATHECTOMY INDUCES ADRENERGIC EXCITABILITY

Sympathectomy induces adrenergic excitability of cutaneous C-fiber nociceptors
DF Bossut, VK Shea, ER Perl
Department of Physiology, University of North Carolina at Chapel Hill,

Your doctor at the consultation might tell you that there is a tiny chance that something will go wrong during the surgery, and due to damage of the nerves and/or arteries you might experience pain. However this pain might be or become extreme.
Now, the fact is that you do not need extra damage to any other nerves during surgery. The surgery itself is the damage that will induce this pain.
And it has nothing to do with having the surgery performed by an experienced surgeon. NO difference. They all do the same: disrupt, damage, cut, burn or clamp the sympathetic chain.