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, June 4, 2008

recurrence rate 15% and 19%

Gender, age, family history, and distribution of sweating were similar in both groups. Recurrence rates 1 and 2 years after endoscopic thoracic ganglionectomy were between 0% and 3% in T2 and T3 resection, and between 15% and 19% in T2 resection only. In the combined T2 and T3 resection group, 100% of patients noticed compensatory sweating; in T2 resection, 90% of patients noticed compensatory sweating.
Yano M, Kiriyama M, Fukai I, Sasaki H, Kobayashi Y, Mizuno K, Haneda H, Suzuki E, Endo K, Fujii Y.

Department of Surgery II, Nagoya City University Graduate School of Medical Science, Japan.
2005

unable to establish the etiology of redistribution of perspiration

Bilateral upper thoracic sympathicolysis is followed by redistribution of body perspiration, with a clear decrease in the zones regulated by mental or emotional stimuli, and an increase in the areas regulated by environmental stimuli, though we are unable to establish the etiology of this redistribution.

R. Ramos1 Contact Information, J. Moya1, I. Macia2, R. Morera2, I. Escobar2, V. Perna2, F. Rivas2, C. Masuet3, J. Saumench2 and R. Villalonga4

diarrhea associated with disordered motility

III Diarrheal Diseases Lawrence R. Schiller, M.D.
Clinical Professor of Internal Medicine, Division of Gastroenterology
University of Texas Southwestern Medical Center at Dallas, 2003
Disordered motility or regulation can produce secretory diarrhea. Secretory diarrhea associated with disordered motility can occur in patients who have undergone vagotomy or sympathectomy, patients with autonomic neuropathy from diabetes or amyloidosis, and probably patients with irritable bowel syndrome.

Sympathectomy, whether chemical or surgical, leads to diarrhea

The sympathetic nervous system in the intestinal mucosa releases
norepinephrine (an a2 antagonist) and so inhibits electrolyte secretion and stimulates absorption. Sympathectomy, whether chemical or surgical, leads to diarrhea, at least transiently. Chronic diabetics with autonomic neuropathy sometimes develop persistent diarrhea that is associated with degeneration of adrenergic nerve fibers to the gut. Somatostatin and endogenous enkephalins are also antisecretory.
http://www.gastroresource.com/GITextbook/en/chapter7/7-5-pr.htm