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June 26, 1926


JAMA. 1926;86(26):1968-1971. doi:10.1001/jama.1926.02670520012004

[Editorial Note.—This paper, together with the paper by Drs. Cutler and Fine, which follows it, concludes the symposium on "Sympathectomy." In our last issue we published the three papers by Drs. Forbes and Cobb, Dr. Ranson, and Drs. Davis and Kanavel.]

Periarterial sympathectomy has been widely practiced during the last few years. Dealing as it does with a surgical attack on that enigmatic portion of our anatomy the sympathetic or autonomic nervous system, it has had the stimulating effect so commonly generated by research activities in comparatively unknown fields. The application of periarterial sympathectomy, or periarterial histonectomy, as Schilf1 prefers to designate the procedure, as surgical therapy has evoked many pertinent questions as to the correctness of the physiologic hypothesis on which it is founded.

The first person to perform periarterial sympathectomy was Jaboulay,2 who in 1889 removed the periarterial tissues from the femoral artery for the cure