The Surgery of Pain

Leriche, R; Young, Archibald

doi:10.1097/00000441-193911000-00034

Cited by 84 publications

(11 citation statements)

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“…In 1920, Kotzareff [12] introduced hyperhidrosis as an indication for upper thoracic sympathectomy. Around 1923, Royle [17] and Leriche [14] applied lumbar sympathectomy to treat ischemic lesions of the lower limbs, which remained for many years the primary treatment for peripheral vasoocclusive disease.…”

Section: Einführung Und Geschichte Der Sympatikuschirurgiementioning

confidence: 99%

Introduction and history of sympathetic surgery

Bischof

2005

Eur Surg

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Section: Einführung Und Geschichte Der Sympatikuschirurgiementioning

confidence: 99%

Introduction and history of sympathetic surgery

Bischof

2005

Eur Surg

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“…The results of sympathicolysis for various painful conditions advocated by Leriche during the early decades of the twentieth century were summarized in his later monograph [37]. Sympathectomy to abolish hyperhidrosis was reported for the first time by Kotzareff in 1920 [33].…”

Section: Historical Landmarksmentioning

confidence: 99%

History of sympathetic surgery

Hashmonai

Kopelman

2003

Clinical Autonomic Research

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The first reported operation on the upper sympathetic system was performed by Alexander in 1889. The initial indications (epilepsy, exophthalmic goiter, idiocy, glaucoma) are obsolete. For some subsequent indications (angina pectoris, vasospastic disorders, and painful conditions) sympathectomy has still a limited application. The main indications today are hyperhidrosis (since 1920) and blushing. Renewed attempts to perform the operation for psychological conditions have been reported. The technique of sympathectomy has been modified over the century, with a trend to minimize the extent of surgery: from open to endoscopic approaches; from resection of ganglia to thermoablation, thermotransection, and clipping. The sequelae of the operation (mainly compensatory hyperhidrosis) present a major problem in a small percentage of operated patients. Techniques of reversal (by nerve grafting and unclipping) have been proposed. Meticulous follow-up studies are required to evaluate the merits of these techniques. Improved knowledge of the functions and interrelations of the autonomic nervous system is required to understand the mechanism of these sequelae and learn how to avoid or treat them.

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“…So many of the occurrences of everyday life and medicine can be explained with such facility in terms of present day psychiatry that it becomes pitifully easy to fall into the error of attributing to disturbances of the psyche, any symptoms for which no organic factor is readily demonstrable. (Leriche, 1940;Livingstone, 1943), and both vasodilatation and vasoconstriction have been incriminated. Yet in cases of causalgia no particular vascular change can 'be constantly demonstrated, save a general increase in the blood flow to the affected limb (Leriche and Fontaine, 1929) to five seconds, during which the stump sometimes jerks spontaneously. '…”

Section: Introductionmentioning

confidence: 99%

The Phantom Limb

1948

Postgraduate Medical Journal

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The Surgery of Pain

Cited by 84 publications

References 0 publications

Introduction and history of sympathetic surgery

Introduction and history of sympathetic surgery

History of sympathetic surgery

The Phantom Limb

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