The amount of compensatory sweating depends on the patient, the damage that the white rami communicans incurs, and the amount of cell body reorganization in the spinal cord after surgery.
Other potential complications include inadequate resection of the ganglia, gustatory sweating, pneumothorax, cardiac dysfunction, post-operative pain, and finally Horner’s syndrome secondary to resection of the stellate ganglion.
www.ubcmj.com/pdf/ubcmj_2_1_2010_24-29.pdf

After severing the cervical sympathetic trunk, the cells of the cervical sympathetic ganglion undergo transneuronic degeneration
After severing the sympathetic trunk, the cells of its origin undergo complete disintegration within a year.

http://onlinelibrary.wiley.com/doi/10.1111/j.1439-0442.1967.tb00255.x/abstract

Sunday, 30 June 2013

Medical Education Network on Sympathectomy

ETS is most commonly used to treat severe hyperhidrosis of the upper body, Raynaud's phenomenon, and facial blushing.
There are reports of ETS being used to achieve cerebral revascularization for patients with moyamoya disease,1 and to treat headaches, hyperactive bronchial tubes,2long QT syndrome345 and other conditions.
Thoracic sympathectomy can alter many bodily functions, including sweating,6 vascular responses,7heart rate,89 heart stroke volume,1011thyroidbaroreflex,lung volume,12 pupil dilation, skin temperature, goose bumps and other aspects of the autonomic nervous system, like the fight-or-flight response. It may diminish the body's physical reaction to exercise.131415

Sympathectomy involves division of adrenergic, cholinergic and sensory fibers which elaborate adrenergic substances during the process of regulating visceral function.16 It involves dissection of the main Sympathetic trunk in the upper thoracic region of the sympathetic nervous system, thus interrupting neural messages that ordinarily would travel to many different organs, glands and muscles. It is via these nerves of the autonomic nervous system that the brain is able to make adjustments in the body in response to changing conditions in the environment, changing emotional states, level of exercise, and other factors to maintain the body's homeostasis.

https://www.meducation.net/community_notes/7283-Endoscopic-thoracic-sympathectomy

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