This paper is only available as a PDF. To read, Please Download here.
Abstract
A group of 250 patients have been followed for at least one year and not more than
six, in whom the minimal procedure consisted of a total splanchnic nerve section with
removal of the sympathetic chain above the ninth dorsal and below the second lumbar
ganglia. More extensive procedures were tried in a selected group of patients but
nothing can be said as yet about their being superior; the morbidity certainly rises
with their use. The patients were grouped as being in an early, marked, and too advanced
stage. For five years now none of the last group has been accepted. There were two
anesthetic deaths in this series and no postoperative mortality. The results were
excellent in the first, fair in the second, and poor in the third group. The possible
role of a corticoadrenal factor in the maintenance of essential hypertension is stressed
in such early cases in which splanchnic section has not been successful.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Some Different Types of Essential Hypertension: Their Course and Prognosis.Am. J. M. Sc. 1939; 197: 332
- The Surgical Approach to Hypertension.J. A. M. A. 1942; 118: 501
- The Surgical Treatment of Arterial Hypertension.J. A. M. A. 1946; 130: 467
- Surgical Treatment of Hypertension; Some Suggestions About Selection of Cases for This Form of Therapy.J. M. Soc. New Jersey. 1947; 44: 304-316
- Analysis of Surgical Failures and Fatalities Following Thoraco-Lumbar Sympathectomy for Essential Hypertension.New York State J. Med. 1946; 46: 1715
- The Surgical Approach to Hypertension. Second Report.Arch. Surg. 1946; 53: 111
- Correlation of Clinical Types With Renal Function in Essential Hypertension. II. Effect of Spinal Anesthesia.J. A. M. A. 1944; 124: 736
- Studies in Hypertension. V. Effect of High Spinal Anesthesia on the Blood Pressure of Patients With Hypertension and Far Advanced Renal Disease.J. Lab. & Clin. Med. 1945; 30: 1037
- Studies on Hypertension.Arch. Int. Med. 1946; 77: 385
- A Technique for Testing Hypertensive Patients Preoperatively.Ann. Surg. 1947; 125: 119
- The Surgical Treatment of Hypertension. III. The “Neurogenic” Versus Renal Hypertension From the Standpoint of Operability.Surgery. 1947; 21: 773
- Renal Pathology in the Light of Recent Neurovascular Studies.Lancet. 1946; 2: 237
- Records and Findings During Studies of the Renal Circulation in the Rabbit With Special Reference to Vascular Short-circuiting and Functional Cortical Ischemia.in: Proc. Physiol. Soc. in J. Physiol. 105. 1946: 27
- A Change of Mechanism in the Course of Hypertension of Renal Origin. Experimental Hypertension.The New York Academy of Sciences. 1946; 3: 153
- The General Adaptation Syndrome and the Diseases of Adaptation.J. Clin. Endocrinology. 1946; 6: 117
- Personality in Arterial Hypertension, American Society for Research in Psychosomatic Problems.Robert Brunner, New York1945
- Effect of Suprarenal Denervation and Splanchnic Section on the Sugar Tolerance of Dogs.Arch. Surg. 1935; 30: 151
- The Effect of the Adrenotrophic Hormone of the Anterior Pituitary on the Cholesterol Content of the Adrenals.Yale J. Biol. & Med. 1944; 16: 361
- Adenomatous Hyperplasia of the Adrenal Cortex Associated With Essential Hypertension.Arch. Path. 1941; 32: 169
- The Relationship of the Adrenal Cortex to Hypertension. Observations on the Effect of Hypo-adrenalism on a Patient With Hypertensive Vascular Disease.J. A. M. A. 1945; 129: 537
- Cushing's Syndrome.Medicine. 1944; 25: 225
- Essential Hypertension. The Treatment of Hypertension, Medical Versus Surgical.Ann. Int. Med. 1940; 14: 233
Craig, W. McK.: Personal communication.
Peet, M. M.: Personal communication.
Smithwick, R. H.: Personal communication.
Hinton, W. J.: Personal communication.
Grimson, K. S.: Personal communication.
- A Technique for Splanchnic Resection in Hypertension.Surgery. 1940; 7: 1
- The Surgical Treatment of Essential Hypertension.J. A. M. A. 1947; 134: 1
- The Surgical Treatment of Hypertension. Collective Review.Surg., Gynec. & Obst. 1942; 75: 421
- Sterility of the Male After Sympathectomies.J. A. M. A. 1941; 117: 20
- The Control of Intractable Pancreatic Pain by Splanchnic Nerve Section.Surg., Gynec. & Obst. 1947; 85: 742
- Two Deaths Associated With Supradiaphragmatic Vagotomy.J. A. M. A. 1946; 132: 988
- Aggravation of a Gastric Ulcer Following Dorsolumbar Sympathectomy.J. A. M. A. 1947; 133: 1207
Article info
Footnotes
☆Presented at the annual meeting of the Society for Vascular Surgery, Atlantic City, N. J., June 9, 1947.
Identification
Copyright
© 1948 Published by Elsevier Inc.
