0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

SYMPATHECTOMY FOR THROMBO-ANGIITIS OBLITERANS

P. G. Flothow, M.D.
JAMA. 1935;105(12):986-987. doi:10.1001/jama.1935.02760380062025.
Text Size: A A A
Published online

ABSTRACT

To the Editor:—  In The Journal, June 29, was an editorial on "Sympathectomy for Thrombo-Angiitis Obliterans." This editorial is timely. About a year ago an editorial appeared in The Journal in which it was stated that sympathectomy had no place in the treatment of Buerger's disease. What I wish to call attention to, however, is the statement in the last paragraph: "It must be further emphasized that the operation (lumbar sympathectomy) is not only technically difficult even for the expert neurosurgeon but likewise a formidable procedure for the patient. The most serious complication is suppuration of the wound, which is particularly frequent in cases complicated by gangrene. The mortality even in the hands of the expert is not less than 4 per cent."For years I have been advocating the use of the extraperitoneal approach to the lumbar sympathetics. Appearing in the July issue of the American Journal of Surgery

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();