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• W2090925678 abstract "Summary With the passage of time, the value and the limitations of sympathectomy in the management of various reflex and peripheral vascular disorders have become well defined. Its wise clinical application is dependent on establishing a clear-cut accurate diagnosis and on under-standing well the usual clinical course of the disorder under consideration and the manner in which sympathectomy can be expected to alter this course. It is generally much less dependent on preoperative assessment of the vasomotor response of the patient to a period of inhibition of vasoconstrictor impulses. Careful preoperative study of such vasomotor responses to inhibition of vasoconstrictor impulses, and of pain to sympathetic blockade, is of the greatest importance, however, in certain instances. The need for sympathectomy has been curtailed somewhat by the development of technics which permit one to maintain or restore the continuity of the artery when operating for arterial trauma, aneurysm or arteriovenous fistula, and by reconstructive surgical procedures in instances of arterial obliterative disease. Nevertheless, the procedure still has wide applicability. The results of sympathetic denervation vary. Sometimes it must be used when there is relatively small likelihood of a striking result because nothing else offers as much promise. Generally, a very satisfying outcome can be expected. Sometimes results are truly dramatic. Altogether, when utilized on proper indication, sympathectomy proves a rewarding procedure." @default.
• W2090925678 created "2016-06-24" @default.
• W2090925678 creator A5074209957 @default.
• W2090925678 date "1965-07-01" @default.
• W2090925678 modified "2023-09-26" @default.
• W2090925678 title "Sympathetic denervation of the extremities" @default.
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• W2090925678 doi "https://doi.org/10.1016/s0011-3840(65)80001-6" @default.
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• W2090925678 hasPublicationYear "1965" @default.
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