sympathectomy improves skin blood flow at the thermoregulatory but not the nutritive level of skin microcirculation. This may be related to the fact that the thermoregulatory vessels are mainly sympathetically controlled, whereas the nutritive capillaries are mainly controlled by local (nonneural) factors.
http://www.springerlink.com/content/ukwtrn2y72age93t/
"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
Monday, May 21, 2012
Depending on the series and the duration of follow-up, the success rate of sympathectomy varies from 12% to 97%
http://www.ispub.com/journal/the-internet-journal-of-pain-symptom-control-and-palliative-care/volume-2-number-1/complex-regional-pain-syndrome-a-clinical-review.html
typical CRPS changes also occur following sympathectomy, which has traditionally been considered curative of CRPS
(p.557)
For two decades, Handbook of Neurosurgery -- now in a fully updated seventh edition -- has been an invaluable companion for every neurosurgery resident and nurse, as well as neurologists and others involved in the care of patients with brain and spine disorders.
Handbook of Neurosurgery
For two decades, Handbook of Neurosurgery -- now in a fully updated seventh edition -- has been an invaluable companion for every neurosurgery resident and nurse, as well as neurologists and others involved in the care of patients with brain and spine disorders.
Sympathectomy has been discredited in this condition
Vasospastic conditions
Raynaud’s syndrome
http://surgeryonline.wordpress.com/category/arterial-disorders/