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February 1, 1936

INDICATIONS FOR OPERATIONS ON THE SYMPATHETIC NERVOUS SYSTEM

Author Affiliations

ROCHESTER, MINN.

From the Section on Neurologic Surgery, the Mayo Clinic.

JAMA. 1936;106(5):360-368. doi:10.1001/jama.1936.02770050016005
Abstract

Indications for surgical treatment of diseases resulting from dysfunction of the sympathetic nervous system are based on the symptoms produced and the results obtained from interruption of the sympathetic pathways. The symptoms result from abnormal vasomotor stimuli and motor imbalances in the smooth musculature of the colon, sigmoid, rectum, bladder, ureters and uterus. Since afferent sensations of pain travel through fibers that may be of symppathetic origin and these fibers run parallel with the postganglionic fibers to blood vessels and visceral organs, pain also is considered a symptom resulting from dysfunction of the sympathetic nervous system.

The surgical treatment consists of sympathetic ganglionectomy and trunk resection, with section of rami and postganglionic fibers,1 in order to interrupt completely sympathetic pathways carrying efferent and afferent stimuli to a given area or organ.

The relief of symptoms obtained by one of the surgical procedures in the treatment of diseases produced by

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