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Article
February 1946

ABDOMINOPELVIC SYMPATHECTOMY FOR RELIEF OF PAIN OF CANCER OF THE CERVIX

Author Affiliations

OPORTO, PORTUGAL

Arch Surg. 1946;52(2):113-134. doi:10.1001/archsurg.1946.01230050117001
Abstract

SEVERAL physicians have tried to relieve the pain of cancer of the uterus by surgical intervention on the sympathetic system. It is to be noted that Jaboulay1 in 1899 had attempted to relieve pelvic pain by interrupting the afferent pathways in the sacral sympathetic chains. Ruggi2 in the same year advised resection of the utero-ovarian plexus. These procedures were not immediately followed by other surgeons.

Later, in 1921, Leriche3 introduced periarterial sympathectomy of the hypogastric arteries, and Cotte4 in 1925 showed that pelvic pain may be relieved by interruption of the hypogastric plexus. In the same year Leriche5 suggested periaortic and peri-iliac sympathectomy for relief of pain due to inoperable neoplasms in the pelvis. It was especially after the investigations of these authors that abdominopelvic sympathectomy was performed with the purpose of relieving the pain of patients with inoperable cancer of the uterus.

In 1932

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