Surgical sympathectomies and chemical sympatholyses bring about a true sympathetic deafferentation. This leads to central retrograde degenerescence reactions of the pre-ganglionic neurons, to a reduction of the muscular tone and to a secondary neurovascular disorder at the edge of the sympathetic denervation zone.
http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Retrieve&list_uids=2256535&dopt=abstractplus
"Sympathectomy is a technique about which we have limited knowledge, applied to disorders about which we have little understanding." Associate Professor Robert Boas, Faculty of Pain Medicine of the Australasian College of Anaesthetists and the Royal College of Anaesthetists, The Journal of Pain, Vol 1, No 4 (Winter), 2000: pp 258-260
Wednesday, February 15, 2012
A POTENTIAL DANGER DURING ENDOSCOPIC THORACIC SYMPATHECTOMY
- *Department of Vascular Surgery, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
- †Department of Surgery, University of Sydney, Sydney, New South Wales, Australia
Australian and New Zealand Journal of Surgery
A report of a patient with an azygos lobe and an associated anomalous azygos vein covering the upper thoracic sympathetic chain. This anomaly poses a significant risk during the procedure of endoscopic thoracic sympathectomy. A chest X-ray is useful in detecting this anomaly and alerting the surgeon to potential problems.
CAUSES AND MANAGEMENT OF ORTHODEOXIA - The Australian Short Course on Intensive Care Medicine, 2005
DEFINE AND LIST THE CAUSES AND MANAGEMENT OF PLATYPNOEA AND
ORTHODEOXIA
p. 79:
Autonomic
o Parkinson disease (Hussain 2004)
o Bilateral thoracic sympathectomy (van Heerdon 2004)
Published in 2005 by
The Australasian Academy of Critical Care Medicine
“Ulimaroa”
630 St Kilda Rd, Melbourne,
Victoria 3004
ISSN 1327-4759
ORTHODEOXIA
p. 79:
Autonomic
o Parkinson disease (Hussain 2004)
o Bilateral thoracic sympathectomy (van Heerdon 2004)
Published in 2005 by
The Australasian Academy of Critical Care Medicine
“Ulimaroa”
630 St Kilda Rd, Melbourne,
Victoria 3004
ISSN 1327-4759
Occurrence and multiple recurrence of severe vasospasm of the upper extremity following thorascopic sympathectomy for hyperhidrosis
http://www.ncbi.nlm.nih.gov/pubmed/21130009
Although bilateral sympathectomy almost totally depleted the NA from the right atrium (by 98%), the NPY-ir levels were only reduced by 50%
Unilateral and bilateral sympathectomy produced similar reductions in the concentrations of NPY-ir and NA in the ventricular tissue.
Maccarrone C, Jarrott B.
Maccarrone C, Jarrott B.
Source
University of Melbourne, Department of Medicine, Austin Hospital, Heidelberg, Vic., Australia.http://www.ncbi.nlm.nih.gov/pubmed/3450689
reduced oxygen saturation and shallow respiration after a thoracoscopic sympathectomy
- D. J. Canty1,2,3,* and C. F. Royse4,5
1Department of Anaesthesia, Royal Hobart Hospital, 48 Liverpool Street, Hobart, Tasmania 7000, Australia
- 2Medical School of The University of Tasmania, Tasmania, Australia
- 3Department of Pharmacology, The University of Melbourne, Melbourne, Australia
- 4Anaesthesia and Pain Management Unit, Department of Pharmacology, University of Melbourne, Melbourne, Australia
- 5Royal Melbourne Hospital, Victoria, Australia
- *Corresponding author. E-mail: david.canty@dhhs.tas.gov.au
- http://bja.oxfordjournals.org/content/103/3/352.full