Surgical Treatment of Vasospastic Types of Scleroderma by Resection of Sympathetic Ganglia and Trunks

Article1 December 1930Surgical Treatment of Vasospastic Types of Scleroderma by Resection of Sympathetic Ganglia and TrunksALFRED W. ADSON, M. D., PAUL A. O'LEARY, M.D., GEORGE E. BROWN, M.D.ALFRED W. ADSON, M. D.Search for more papers by this author, PAUL A. O'LEARY, M.D.Search for more papers by this author, GEORGE E. BROWN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-4-6-555 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe permanent vasodilator effect following resection of sympathetic ganglia and trunks, with its subsequent physiologic changes, has stimulated us to find numerous clinical applications of the procedure. Naturally any disease that arises either directly or indirectly from impaired circulation must be considered. The results obtained by interrupting the vasoconstrictor fibers of the peripheral arteries are determined by the dilatation of the arteries and arterioles affected by the operative procedure. Therefore, it is extremely important to select patients who have nonocclusive lesions of the arteries, and who have vasomotor spasm of the arteries which has resulted in impairment of the circulation....Bibliography1 ADSON AW: The indications and contra-indications for sympathetic ganglionectomy in the treatment of peripheral vascular diseases. (Unpublished data). Google Scholar2 ADSON AW: The surgical indications for sympathetic ganglionectomy and trunk resection in the treatment of diseases resulting from vasomotor spasm of peripheral arteries. Bull. New York Acad. Med. 6:17-32, 1930. MedlineGoogle Scholar3 ADSONBrown AWGE Treatment of Raynaud's disease by lumbar ramisection and ganglionectomy and perivascular sympathetic neurectomy of the common iliacs. Jour. Am. Med. Assn. 84:1908-1910 (June) 1925. CrossrefGoogle Scholar4 ADSONBROWN AWGE: The treatment of Raynaud's disease by resection of the upper thoracic and lumbar sympathetic ganglia and trunks. Surg., Gynec., and Obst. 48:577-603 (May 1929. Google Scholar5 ADSONBROWN AWGE: Physiologic effects of thoracic and of lumbar sympathetic ganglionectomy or section of trunk. Arch. Neurol. and Psychiat. 22:322-357 (Aug.) 1929. CrossrefGoogle Scholar6 ADSONROWNTREE AWLG: Bilateral lumbar and thoracic sympathetic ganglionectomy and ramisectomy for polyarthritis of the lower and of the upper extremities. Tr. Assn. Am. Phys. 44:221, 1929. Google Scholar7 ADSONROWNTREE AWLG: The surgical indications for sympathetic ganglionectomy and trunk resection in the treatment of chronic arthritis. Bull. New York Acad. Med. 17-32 (Jan.) 1930. MedlineGoogle Scholar8 BRÜNNING F: Weitere Erfahrungen über den Sympathicus. Klin. Wchnschr. 2:1872-1874 (Oct.) 1923. CrossrefGoogle Scholar9 JONNESCO T: Traitement chirurgical de l'angine de poitrine par la résection du sympathique cervico-thoracique. Presse méd. 1:193-194 (March) 1921. Google Scholar10 KRAMERTODD JGTW: The distribution of nerves to the arteries of the arm. Anat. Rec. 8:243-255 (May) 1914. CrossrefGoogle Scholar11 KUNTZ A: Distribution of the sympathetic rami to the brachial plexus; its relation to sympathectomy affecting the upper extremity. Arch. Surg. 15:871-877 (Dec.) 1927. CrossrefGoogle Scholar12 LERICHE R: De l'élongation et de la section des nerfs périvasculaires dans certains syndromes douloureux d'origine artérielle et dans quelques troubles trophiques. Lyon chir. 10:378-382 (Oct.) 1913. Google Scholar13 POTTS LW: The distribution of nerves to the arteries of the leg. Anat. Anz. 47:138-143, 1914-1915. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Read before the Meeting of the American College of Physicians, Minneapolis, Minnesota, February 10 to 14, 1930. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byManagement of sclerodermal finger ulcersProgressive Systemic Sclerosis: Kidney InvolvementACROSCLEROSIS: A DISEASE SUI GENERIS OR A VARIETY OF DIFFUSE SCLERODERMA ?SCLERODERMA (BASED ON A STUDY OF OVER 150 CASES)*IRVING LEINWAND, M.D., A. WILBUR DURYEE, M.D., F.A.C.P., MAURICE N. RICHTER, M.D.Raynaud + SklerodermieDie raynaudsche erkrankung und ihr formenkreisThe treatment of scleroderma by means of acetyl beta methyl choline chloride (mecholyl) iontophoresisThe selection of cases of thrombo-angiitis obliterans and other circulatory diseases of the extremities for sympathetic ganglionectomyDie Chirurgie des Retroperitonealraums und des dorsalen Bauchfells 1 December 1930Volume 4, Issue 6Page: 555-568KeywordsArteriesArteriolesGangliaLesionsSclerodermaSurgerySurgical resectionVasodilators ePublished: 1 December 2008 Issue Published: 1 December 1930 PDF downloadLoading ...