Thoracordorsal Sympathectomy En Bloc

Abstract

Although the number of people involved in this study is small, it is evident that there is a difference between thoracic sympathectomy and thoracodorsal sympathectomy en bloc, both subjectively and objectively as demonstrated by Doppler flow measurements. The best indications for en bloc resection of the sympathetic nerve are as follows: ischemic attacks of the hand and fingers on the basis of vasospastic diseases and occlusive diseases of the digital arteries, pain and dystrophy of the hand and fingers in Suedeck''s disease and Raynaud phenomenon without scleroderma. The final results depend on the course and progression of the underlying disease. To understand the sympathetic innervation of the upper limb it will be necessary to compare the different forms of sympathectomy with the help of a broad forum of interested surgeons and anatomists.