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

Sunday, March 30, 2008

SEVERE CS in 90 % of patients!

"Postsurgery, severe compensatory sweating was experienced in 90% of patients".

Video-assisted transthoracic sympathectomy in the treatment of primary
hyperhidrosis: friend or foe?
Surg Laparosc Endosc Percutan Tech. 2000 Aug;10(4):226-9.
Fredman B, Zohar E, Shachor D, Bendahan J, Jedeikin R.
Department of Anesthesiology and Critical Care, Meir Hospital, Kfar Saba, Israel. hyperhidrosis.