There is potentially a number of safety issues associated with this procedure
Australian Review of ETS surgery "A lack of high quality randomised trial evidence on ETS means that it is difficult to make a judgment on the safety and effectiveness of this technique. There is potentially a number of safety issues associated with this procedure. ASERNIP-s suggests that a full systematic review including all available comparative and case series information, together with clinical inpuut, should be undertaken to provide up-to-date and comprehensive assessment of the safety and effectiveness of ETS." (ASERNIP-s Report No. 71, August 2009)
Post-sympathectomy neuralgia is proposed here to be a complex neuropathic and central deafferentation/reafferentation syndrome dependent on: (a) the transection, during sympathectomy, of paraspinal somatic and visceral afferent axons within the sympathetic trunk; (b) the subsequent cell death of many of the axotomized afferent neurons, resulting in central deafferentation; and (c) the persistent sensitization of spinal nociceptive neurons by painful conditions present prior to sympathectomy. Viscerosomatic convergence, collateral sprouting of afferents, and mechanisms associated with sympathetically maintained pain are all proposed to be important to the development of the syndrome.
results of ETS deteriorate and compensatory sweating does not improve with time
Our findings indicate that results of ETS deteriorate and compensatory sweating does not improve with time. It is mandatory to inform patients of the potential long-term adverse effects before surgery. 10-YEAR FOLLOW-UP OF ENDOSCOPIC THORACIC SYMPATHECTOMY G. Somuncuoglu, T. Walles, V. Steger, S. Veit, G. Friedel Schillerhoehe Hospital, Gerlingen, Germany 2008;7:147-200 Interact CardioVasc Thorac Surg
Extreme caution is called for when considering surgical sympathectomy
Surgical sympathectomy is carried out on the basis of poor quality evidence, studies without control groups, and personal experience. Though it would appear logical (and has been suggested) that surgical sympathectomy is indicated primarily for patients with confirmed 'sympathetic-dependent pain, other authors take the view that the treatment results are not correlated to this. Eighteen percent of patients undergoing sympathectomy for neuropathic pain experience compensatory hyperhidrosis and 25% experience neuropathic complications. Extreme caution is called for when considering surgical sympathectomy for pain control in CRPS-I. The procedure should be conducted in the context of a trial in order to ascertain the efficacy and potential risks. Guideline
INITIATIVE: Netherlands Society of Rehabilitation Specialists Netherlands Society of Anaesthesiologists
WITH THE SUPPORT OF: Institute for Healthcare Improvement CBO www.cbo.nl/Downloads/341/rl_crps_eng_07.pdf
Thoracic sympathectomy can result in reduced sweating and disturbed peripheral vascular and heart rate responses. Patients should be warned that these mechanisms may play a role in the development of exertional heat stroke. Is Previous Thoracic Sympathectomy a Risk Factor for Exertional Heat Stroke?
Alan D.L. Sihoe, FRCSEd(CTh)a,*, Raymond W.T. Liu, MRCPb, Alex K.L. Lee, MRCPb, Chak-Wah Lam, FHKAMb, Lik-Cheung Cheng, FRCS
sympathectomy caused a negative balance of bone metabolism, leading to decreased mass by regulating deposition rather than resorption during modelling and remodelling of bone. http://www.ncbi.nlm.nih.gov/pubmed/18449939
We describe a patient who underwent upper thoracic sympathectomy for palmar hyperhidrosis, and whose symptoms subsequently deteriorated, becoming worse than those on initial presentation.
Recurrence of hyperhidrosis after endoscopic transthoracic sympathectomy—case report and review of the literature C.H. ORTEU 1 , J.M. MCGREGOR 1 , J.R. ALMEYDA 1 M.H.A. RUSTIN 1 1 Dermatology Departments, The Royal Free Hospital, Pond Street, London NW3 2QG and The North Middlesex Hospital, London N18 1QX, UK Copyright 1995 Blackwell Science Ltd
HERPES is a serious and recurring disease which can't be cure through drugs or injections by an American doctors but the best way to deal with Herpes is by taking natural herbs medicine for it, I have red about DR JAMES the great herbalist doctor who cured me from herpes with his powerful herbal medicine. I contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs!After 2 days of contacting him, he told me that the cure has been ready and he sent it to me via UPS SPEED POST and it got to me after 3 days i used the medicine as he instructed me (MORNING and EVENING) and i was cured!it's really like a dream but I am so happy! for the people suffering from herpes virus and any kind of diseases such as Alzheimer’s disease,Bechet’s disease,Crohn’s disease,Parkinson's disease,Schizophrenia,Lung Cancer,Breast Cancer,Colo-Rectal Cancer,Blood Cancer,Prostate Cancer,siva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Sclerosis,Fibromyalgia,Fluoroquinolone Toxicity Syndrome Fibrodysplasia Ossificans ProgresS sclerosis,Seizures,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Hiv_ Aids,Herpe ,Copd,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.Alzheimer's disease, Dementia.Lupus. ,Cushing’s disease,Heart failure,Multiple Sclerosis,Hypertension,Colo_Rectal Cancer,Lyme Disease,Blood Cancer,Brain Cancer,Breast Cancer,Lung Cancer,Kidney Cancer, HIV, Herpes,Hepatitis B, Liver Inflammatory,Diabetes,Fibroid, should contact him for his herbal medicine because i am a living testimony and i was cured of herpes and his medicine is legit. I sent him what he requested and he sent me his medicine which I took for 2 good weeks and today I am out here with a negative result. When I went for the test I was so happy after taking his herbal medication I paid homage to his country to celebrate with him on his African festival which he told me it usually happens every year. you can reach him through VIA E-mail drjamesherbalmix@gmail.com or whatsapp number:+2348152855846
There is potentially a number of safety issues associated with this procedure
ReplyDeleteAustralian Review of ETS surgery
"A lack of high quality randomised trial evidence on ETS means that it is difficult to make a judgment on the safety and effectiveness of this technique. There is potentially a number of safety issues associated with this procedure. ASERNIP-s suggests that a full systematic review including all available comparative and case series information, together with clinical inpuut, should be undertaken to provide up-to-date and comprehensive assessment of the safety and effectiveness of ETS." (ASERNIP-s Report No. 71, August 2009)
Post-sympathectomy neuralgia is proposed here to be a complex neuropathic and central deafferentation/reafferentation syndrome dependent on: (a) the transection, during sympathectomy, of paraspinal somatic and visceral afferent axons within the sympathetic trunk; (b) the subsequent cell death of many of the axotomized afferent neurons, resulting in central deafferentation; and (c) the persistent sensitization of spinal nociceptive neurons by painful conditions present prior to sympathectomy. Viscerosomatic convergence, collateral sprouting of afferents, and mechanisms associated with sympathetically maintained pain are all proposed to be important to the development of the syndrome.
ReplyDeletePain. 1996 Jan;64(1):1-9
http://www.ncbi.nlm.nih.gov/pubmed/8867242?ordinalpos=2&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum
"Limited sympathectomy does not reduce postoperative compensatory sweating"
ReplyDeletehttp://www.jvascsurg.org/article/S0741-5214(02)75164-1/fulltext
results of ETS deteriorate and compensatory sweating does not improve with time
ReplyDeleteOur findings indicate that results of ETS deteriorate and compensatory sweating does not improve with time. It is mandatory to inform patients of the potential long-term adverse effects before surgery.
10-YEAR FOLLOW-UP OF ENDOSCOPIC THORACIC SYMPATHECTOMY
G. Somuncuoglu, T. Walles, V. Steger, S. Veit, G. Friedel
Schillerhoehe Hospital, Gerlingen, Germany
2008;7:147-200 Interact CardioVasc Thorac Surg
Extreme caution is called for when considering surgical sympathectomy
ReplyDeleteSurgical sympathectomy is carried out on the basis of poor quality evidence, studies without control groups, and personal experience. Though it would appear logical (and has been suggested) that surgical sympathectomy is indicated primarily for patients with confirmed
'sympathetic-dependent pain, other authors take the view that the treatment results are not correlated to this. Eighteen percent of patients undergoing sympathectomy for
neuropathic pain experience compensatory hyperhidrosis and 25% experience neuropathic complications.
Extreme caution is called for when considering surgical sympathectomy for pain control in CRPS-I. The procedure should be conducted in the context of a trial in order to ascertain
the efficacy and potential risks.
Guideline
INITIATIVE:
Netherlands Society of Rehabilitation Specialists
Netherlands Society of Anaesthesiologists
WITH THE SUPPORT OF:
Institute for Healthcare Improvement CBO
www.cbo.nl/Downloads/341/rl_crps_eng_07.pdf
Thoracic sympathectomy can result in reduced sweating and disturbed peripheral vascular and heart rate responses. Patients should be warned that these mechanisms may play a role in the development of exertional heat stroke.
ReplyDeleteIs Previous Thoracic Sympathectomy a Risk Factor for Exertional Heat Stroke?
Alan D.L. Sihoe, FRCSEd(CTh)a,*, Raymond W.T. Liu, MRCPb, Alex K.L. Lee, MRCPb, Chak-Wah Lam, FHKAMb, Lik-Cheung Cheng, FRCS
Sympathectomy alters bone architecture
ReplyDeletesympathectomy caused a negative balance of bone metabolism, leading to decreased mass by regulating deposition rather than resorption during modelling and remodelling of bone.
http://www.ncbi.nlm.nih.gov/pubmed/18449939
We describe a patient who underwent upper thoracic sympathectomy for palmar hyperhidrosis, and whose symptoms subsequently deteriorated, becoming worse than those on initial presentation.
ReplyDeleteRecurrence of hyperhidrosis after endoscopic transthoracic sympathectomy—case report and review of the literature
C.H. ORTEU 1 , J.M. MCGREGOR 1 , J.R. ALMEYDA 1 M.H.A. RUSTIN 1
1 Dermatology Departments, The Royal Free Hospital, Pond Street, London NW3 2QG and The North Middlesex Hospital, London N18 1QX, UK
Copyright 1995 Blackwell Science Ltd
HERPES is a serious and recurring disease which can't be cure through drugs or injections by an American doctors but the best way to deal with Herpes is by taking natural herbs medicine for it, I have red about DR JAMES the great herbalist doctor who cured me from herpes with his powerful herbal medicine. I contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs!After 2 days of contacting him, he told me that the cure has been ready and he sent it to me via UPS SPEED POST and it got to me after 3 days i used the medicine as he instructed me (MORNING and EVENING) and i was cured!it's really like a dream but I am so happy! for the people suffering from herpes virus and any kind of diseases such as Alzheimer’s disease,Bechet’s disease,Crohn’s disease,Parkinson's disease,Schizophrenia,Lung Cancer,Breast Cancer,Colo-Rectal Cancer,Blood Cancer,Prostate Cancer,siva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Sclerosis,Fibromyalgia,Fluoroquinolone Toxicity
ReplyDeleteSyndrome Fibrodysplasia Ossificans ProgresS sclerosis,Seizures,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Hiv_ Aids,Herpe ,Copd,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.Alzheimer's disease,
Dementia.Lupus.
,Cushing’s disease,Heart failure,Multiple Sclerosis,Hypertension,Colo_Rectal Cancer,Lyme Disease,Blood Cancer,Brain Cancer,Breast Cancer,Lung Cancer,Kidney Cancer, HIV, Herpes,Hepatitis B, Liver Inflammatory,Diabetes,Fibroid,
should contact him for his herbal medicine because i am a living testimony and i was cured of herpes and his medicine is legit. I sent him what he requested and he sent me his medicine which I took for 2 good weeks and today I am out here with a negative result. When I went for the test I was so happy after taking his herbal medication I paid homage to his country to celebrate with him on his African festival which he told me it usually happens every year. you can reach him through VIA E-mail drjamesherbalmix@gmail.com or whatsapp number:+2348152855846