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Lumbar Sympathectomy in Peripheral Vascular Diseases

LOUIS T. PALUMBO, M.D.; DONALD J. LULU, M.D.
Arch Surg. 1963;86(3):512-516. doi:10.1001/archsurg.1963.01310090162030.
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Introduction  Continuous evaluation of the results of lumbar sympathectomy in the treatment of a variety of peripheral vascular diseases brings it into truer focus as a modality which may be used solely or in combination with various vascular surgical procedures. It is important to note that this procedure has been in continuous use in this country since the latter part of the 1930's and that during this long period of time, its popularity has had its peaks and valleys.During the past decade direct surgery upon the peripheral vascular tree has been developed and has proved to be effective in specific types of lesions. It is encouraging to see that lumbar sympathectomy is again being used in conjunction with this type of surgery, or is being advocated when direct vascular surgery is contraindicated.The value of sympathectomy is based upon the favorable results due to release of vasospasm and the

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