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Indications, selection of cases, and postoperative results of sympathectomy for peripheral vascular diseases have been discussed. The causes of failure have been found to be due to improper selection of cases, inadequate technic, and possible regeneration of sympathetic fibers. The improvement of the tissue anoxia, as indicated by the rise of oxygen saturation of the venous blood draining the extremity, and a constancy of blood flow uninfluenced by external or internal stimuli which reach the extremities through the vasomotor system are two persistent findings which explain the value of sympathectomy in selected cases of peripheral vascular disease.
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Received: January 11, 1937
© 1937 Published by Elsevier Inc.