RESULTS OF HIGH DORSOLUMBAR SYMPATHECTOMY FOR HYPERTENSION
Authors: J A EVANS, C C BARTELS
Journal: Annals of Internal Medicine (1949)

Article1 February 1949RESULTS OF HIGH DORSOLUMBAR SYMPATHECTOMY FOR HYPERTENSIONJAMES A. EVANS, M.D., F.A.C.P., CARL C. BARTELS, M.D.JAMES A. EVANS, M.D., F.A.C.P., CARL C. BARTELS, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-30-2-307 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIt has been the custom at the Lahey Clinic for the medical department to choose and recommend certain hypertensive patients for dorsolumbar sympathectomy as well as to follow their postoperative and subsequent course. This report is an attempt on our part to evaluate the results of operation in a strictly critical and unbiased manner based upon a six month to three year follow-up on 173 patients who had sympathectomies to include the fourth thoracic level.Our first series of 54 cases in which resection was carried out to the eleventh or twelfth thoracic level, reviewed by E. C. Bartels1in...Bibliography1. BARTELSPOPPENRICHARDS ECJLRL: Surgical treatment of hypertension (results in 52 cases), Ann. Int. Md., 1942, xvii, 807-811. Google Scholar2. POPPENLEMMON JLC: The surgical treatment of essential hypertension, Jr. Am. Med. Assoc., 1947, cxxxiv, 1-9. Google Scholar3. FREISSMITHWICK EDRH: The effect of lumbodorsal splanchnicectomy on the blood volume and thiocyanate space of patients with essential hypertension, Am. Jr. Med. Sci., 1947, ccxiv, 363-367. CrossrefGoogle Scholar4. PALMER RS: Medical evaluation of the surgical treatment of hypertension, Jr. Am. Med. Assoc., 1947, cxxxiv, 9-14. CrossrefGoogle Scholar5. SMITHWICK RH: The surgical treatment of continued hypertension; some suggestions about selection of cases for this form of therapy, Jr. Med. Soc. New Jersey, 1947, xliv, 304-316. Google Scholar6. DE TAKATS G: Technique for splanchnic resection for hypertension; preliminary report, Surgery, 1940, vii, 1-8. DE TAKATS, G., GRAUPNER, G. W., FOWLER, E. F., and JENSIK, R. J.: Surgical approach to hypertension. Second report, Arch. Surg., 1946, liii, 111-163. Google Scholar7. GRIMSON KS: Total thoracic and partial to total lumbar sympathectomy and celiac ganglionectomy in treatment of hypertension, Ann. Surg., 1941, cxiv, 753-755. CrossrefGoogle Scholar8. KEITHWAGENERBARKER NMHPNW: Some different types of essential hypertension; their course and prognosis, Am. Jr. Med. Sci., 1939, cxcvii, 332-343. CrossrefGoogle Scholar9. BRIDGESJOHNSONSMITHWICKWHITE WCALRHPD: Electrocardiography in hypertension (study of patients subjected to lumbodorsal sympathectomy), Jr. Am. Med. Assoc., 1946, cxxxi, 1476-1480. CrossrefGoogle Scholar10. DE TAKATSFOWLERJORDANRISLEY GEFPTC: Sympathectomy in the treatment of peripheral vascular sclerosis, Jr. Am. Med. Assoc., 1946, cxxxi, 495-499. DE TAKATS, G., and EVOY, M. H.: Sympathectomy for peripheral vascular sclerosis, Jr. Am. Med. Assoc., 1947, cxxxiii, 441-445. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Read at the Twenty-Ninth Annual Session of the American College of Physicians, San Francisco, California, April 23, 1948.From the Lahey Clinic. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHuman hypertension, sympathetic activity and the selfish brainHypertonieHypertonieShould Sympathectomy for Arterial Hypertension Be Abandoned?: Review of Surgical Therapy at the Lahey Clinic: 1950-1954Results of Splanchnicectomy on Patients with Hemorrhagic Hypertensive RetinitisTwenty Years' Experience with the Surgery of HypertensionSurgical Treatment of HypertensionTreatment of essential hypertension with β-alkylamines, especially dibenzylineSYMPATHECTOMY IN THE TREATMENT OF HYPERTENSION REVIEW OF 122 CASESSympathektomieBlutdruck und vegetatives NervensystemDie HochdruckkrankheitDas RegenerationsproblemThe Effects of Splanchnicectomy on the Blood Pressure in HypertensionSplanchnicectomy: Its Clinical Effects on the Gastrointestinal TractPathogenesis of hypertensionHypertensionSelection of Patients for Sympathectomy 1 February 1949Volume 30, Issue 2Page: 307-329KeywordsHypertensionSympathectomy ePublished: 1 December 2008 Issue Published: 1 February 1949 PDF downloadLoading ...