NONSPECIFIC MAJOR OPERATIONS AND LUMBODORSAL SYMPATHECTOMY
- 2 September 1944
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 126 (1) , 15-17
- https://doi.org/10.1001/jama.1944.02850360017005
Abstract
The surgical treatment of hypertension by sympathetic resection has met many objections in the last few years. One of these concerns the specific value of sympathectomy in the reduction of blood pressure in the patients who have undergone operation. In 1939 Volini and Flaxman1followed the course of the blood pressure of 17 hypertensive patients operatedon for different reasons not related to their hypertension. They observed in almost every case a decided reduction of the blood pressure after the operation. They arrived at the conclusion that the blood pressure reduction attributed to nerve resection was actually due to the general conditions to which every patient who is operated on is subjected: bed rest, anesthesia, sedatives, operative shock and special diet. On these bases they denied the specific effect of sympathetic nerve resection on hypertension. In September 1943 Adamson and Dubo2arrived at a similar conclusion. FollowingKeywords
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