The symptoms referable to hypertension were
definitely reduced or eliminated by sympathectomy.
The eyeground findings were also markedly changed
in the direction of normalcy. However, there were
very few electrocardiographic alterations postopera-
tively.
The authors conclude that the extensive sympa-
thectomy performed by them retards and in some
instances arrests the progression of the hypertensive
disease process. However, they emphasize the fact
that this type of operation is associated with certain
disabilities or inconveniences, such as pain, which
may be intense, postural lowering of blood pressure,
producing dizziness and other symptoms, excessive
sweating in areas of regeneration or in areas not de-
nervated, and obstruction of nasal airways caused by
swelling of the mucous membranes.
Grimson, K. S., Orgain, E. S., Anderson, B., Broome,
R. A., Jr., and Longino, F. H.: Results of Treat-
ment of Patients with Hypertension by Total
Thoracic and Partial to Total Lumbar Sympathec-
tomy, Splanchnicectomy and Celiac Ganglionec-
tomy. Ann. Surg. 129: 850 (June), 1949.