SYMPATHECTOMY FOR BLUSHING- MOST SEVERE SIDE-EFFECTS
As a standard procedure surgeons operate the patients by cutting or clamping the sympathetic chain at T2.
In the last 10 years there are more and more articles and presentations at conferences discouraging against this operation, as it is known to cause the most severe side-effects.
In the last 10 years there are more and more articles and presentations at conferences discouraging against this operation, as it is known to cause the most severe side-effects.
DISCLAIMER
BEFORE IT GETS OUT OF HAND:
I AM NOT A MEDICAL PROFESSIONAL, IF YOU ARE WONDERING. I AM A JOURNALIST, WRITER AND RESEARCHER. THE INFORMATION CONTAINED ON THIS BLOG ARE EITHER QUOTES FROM MEDICAL JOURNALS OR MY CONCLUSIONS BASED ON THE YEAR LONG RESEARCH I HAVE DONE AND THE EXPERIENCES OF THE PEOPLE WHO HAD THE SURGERY AND LIVE WITH THE CONSEQUENCES.
I WILL TRY TO BE AS OBJECTIVE AS POSSIBLE AND QUOTE AS MUCH FROM THE MEDICAL PAPERS AS POSSIBLE - WITHOUT BREACHING COPYRIGHT LAWS.
I BELIEVE THAT IT IS FOR THE BENEFIT OFF ALL OUT THERE TO HAVE HAVE AS MUCH ACCESS TO THIS INFORMATION AS POSSIBLE, AS EXPERIENCE SHOWS THAT THE DOCTORS DO NOT INFORM THE PATIENTS ABOUT THE POTENTIAL HARM THEY ARE CAUSING THEIR OWN BODY.
ONE NEEDS TO SHED THE UTOPIC THOUGHT THAT DOCTORS ARE CHARITY WORKERS. THIS WOULD NOT BE THE FIRST CASE TO SHOW THAT THEY ALL ARE IN THE BUSINESS. AND WE KNOW WHAT BUSINESS IS ABOUT.
PS: I DONT'T KNOW IF THERE ARE IDEALS LEFT OUT THERE??? ANY??!
AGAIN: IF YOU HAVE PROBLEM WITH WHAT YOU READ HERE, DO YOUR RESEARCH, SPEND A YEAR WITH THIS STUFF AND THEN GIVE ME A CALL. WE CAN TALK. OR EMAIL.
I AM NOT A MEDICAL PROFESSIONAL, IF YOU ARE WONDERING. I AM A JOURNALIST, WRITER AND RESEARCHER. THE INFORMATION CONTAINED ON THIS BLOG ARE EITHER QUOTES FROM MEDICAL JOURNALS OR MY CONCLUSIONS BASED ON THE YEAR LONG RESEARCH I HAVE DONE AND THE EXPERIENCES OF THE PEOPLE WHO HAD THE SURGERY AND LIVE WITH THE CONSEQUENCES.
I WILL TRY TO BE AS OBJECTIVE AS POSSIBLE AND QUOTE AS MUCH FROM THE MEDICAL PAPERS AS POSSIBLE - WITHOUT BREACHING COPYRIGHT LAWS.
I BELIEVE THAT IT IS FOR THE BENEFIT OFF ALL OUT THERE TO HAVE HAVE AS MUCH ACCESS TO THIS INFORMATION AS POSSIBLE, AS EXPERIENCE SHOWS THAT THE DOCTORS DO NOT INFORM THE PATIENTS ABOUT THE POTENTIAL HARM THEY ARE CAUSING THEIR OWN BODY.
ONE NEEDS TO SHED THE UTOPIC THOUGHT THAT DOCTORS ARE CHARITY WORKERS. THIS WOULD NOT BE THE FIRST CASE TO SHOW THAT THEY ALL ARE IN THE BUSINESS. AND WE KNOW WHAT BUSINESS IS ABOUT.
PS: I DONT'T KNOW IF THERE ARE IDEALS LEFT OUT THERE??? ANY??!
AGAIN: IF YOU HAVE PROBLEM WITH WHAT YOU READ HERE, DO YOUR RESEARCH, SPEND A YEAR WITH THIS STUFF AND THEN GIVE ME A CALL. WE CAN TALK. OR EMAIL.
CEREBRAL DAMAGE
DISEASES OF THE CARDIOVASCULAR SYSTEM (SURGICAL) 1
| the dangers of cerebral damage which may follow the use of the carotid or ..... years after sympathectomy was 41, whereas five years after sympathectomy ... arjournals.annualreviews.org/ |
Complications of Mediastinal Surgery
of the subclavian vein without revascularization may lead to transient upper ... The development of cerebral edema after thoracoscopic. sympathectomy is ...doi.wiley.com/10.1002/9780470988367.ch14
CEREBRAL REVASCULARIZATION - SYMPATHECTOMY
Journal of Vascular Surgery : THE SECOND DECADE: 1957-1966 ...
Interest in cerebrovascular revascularization began with the presentation on .... Aortic Blood Flow Following Lower Aortic Resection and Sympathectomy. ...linkinghub.elsevier.com/retrieve/pii/S0741521496702136
MIA: THERE IS NO QUESTION ABOUT IT, SYMPATHECTOMY WILL HAVE AN EFFECT OF CEREBRAL BLOOD FLOW. IT WILL REDUCE IT INITIALLY AND FORCE THE BODY TO GROW NEW VESSELS IN ORDER TO SUPPLY THE SUFFICIENT BLOOD/OXYGEN TO THE BRAIN. HOWEVER THIS REORGANIZATION WILL HAVE AN EFFECT ON THE BRAIN'S FUNCTIONING, AND CAN HAVE ADVERSE EFFECTS ON COGNITIVE FUNCTIONING BY TURNING OFF SOME CELLS THAT ARE STARVED OF OXYGEN, JUST LIKE IT HAPPENS WHEN ONE HAS A STROKE. IT CAN ALSO LEAD TO CHANGES IN PERSONALITY.
MY RESEARCH INDICATES THAT IT IS THE FRONTAL CORTEX THAT IS AFFECTED MOST AND THE FUNCTIONS ASSOCIATED WITH IT. IT ALSO INVOLVES CHANGES IN THE AMYGDALA, DUE TO THE DENERVATION OF THIS REGION OF THE BRAIN, KNOWN TO RECEIVE IT'S INNERVATION FROM THE UPPER CERVICAL GANGLION ONLY. SAME APPLIES TO THE PITUITARY GLAND. YOU MIGHT WANT TO LOOK UP THE FUNCTION OF THESE. IT IS QUITE REVEALING. ALSO THERE ARE STUDIES ON THESE REGIONS OF THE BRAIN FOLLOWING SYMPATHECTOMY.
VISCERAL AND CEREBRAL INVOLVEMENT FOLLOWING SYMPATHECTOMY: DEATH AFTER SURGERY
Vascularisation of Ischemic Limbs in Severe Occlusive Arterial ...
Eight of the 12 patients underwent sympathectomy. One patient, considered to have visceral and cerebral involvement, died. PMID: 3798265, UI: 87094501 ...bharat_kelkar.tripod.com/sixb.htm - 117k
SYMPATHECTOMY FOR CEREBRAL REVASCULARIZATION
Neurosurg Focus 20(6):E7, 2006
The history of neurosurgical procedures for moyamoya
disease
CASSIUSV. C. REIS, M.D., SAMSAFAVI-ABBASI, M.D., PH.D., JOSEPHM. ZABRAMSKI, M.D.,
SEBASTIÃON. S. GUSMÃO, M.D., PH.D., ROBERTF. SPETZLER, M.D.,
ANDMARKC. PREUL, M.D.
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical
Center, Phoenix, Arizona; and Federal University of Minas Gerais, Belo Horizonte, Brazil
Almost 50 years of research on moyamoya disease (1957–2006) has led to the development of a variety of surgical
and medical options for its management in affected patients. Some of these options have been abandoned, others have
served as the basis for the development of better procedures, and many are still in use today. Investigators studying
moyamoya disease during this period have concluded that the best treatment is planned after studying each patient’s presenting symptoms and angiographic pattern.
The surgical procedures proposed for the treatment of moyamoya disease can be classified into three categories: direct arterial bypasses, indirect arterial bypasses, and other methods. Direct bypass methods that have been proposed are vein grafts and extracranial–intracranial anastomosis (superficial temporal artery–middle cerebral artery [STA–
MCA] anastomosis and occipital artery–MCA anastomosis). Indirect techniques that have been proposed are the following: 1) encephaloduroarteriosynangiosis; 2) encephalomyosynangiosis; 3) encephalomyoarteriosynangiosis; 4) multiple cranial bur holes; and 5) transplantation of omentum. Other options such as cervical carotid sympathectomy and superior cervical ganglionectomy have also been proposed. In this paper the authors describe the history of the development of surgical techniques for treating moyamoya disease.
The history of neurosurgical procedures for moyamoya
disease
CASSIUSV. C. REIS, M.D., SAMSAFAVI-ABBASI, M.D., PH.D., JOSEPHM. ZABRAMSKI, M.D.,
SEBASTIÃON. S. GUSMÃO, M.D., PH.D., ROBERTF. SPETZLER, M.D.,
ANDMARKC. PREUL, M.D.
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical
Center, Phoenix, Arizona; and Federal University of Minas Gerais, Belo Horizonte, Brazil
Almost 50 years of research on moyamoya disease (1957–2006) has led to the development of a variety of surgical
and medical options for its management in affected patients. Some of these options have been abandoned, others have
served as the basis for the development of better procedures, and many are still in use today. Investigators studying
moyamoya disease during this period have concluded that the best treatment is planned after studying each patient’s presenting symptoms and angiographic pattern.
The surgical procedures proposed for the treatment of moyamoya disease can be classified into three categories: direct arterial bypasses, indirect arterial bypasses, and other methods. Direct bypass methods that have been proposed are vein grafts and extracranial–intracranial anastomosis (superficial temporal artery–middle cerebral artery [STA–
MCA] anastomosis and occipital artery–MCA anastomosis). Indirect techniques that have been proposed are the following: 1) encephaloduroarteriosynangiosis; 2) encephalomyosynangiosis; 3) encephalomyoarteriosynangiosis; 4) multiple cranial bur holes; and 5) transplantation of omentum. Other options such as cervical carotid sympathectomy and superior cervical ganglionectomy have also been proposed. In this paper the authors describe the history of the development of surgical techniques for treating moyamoya disease.
AMPUTATION RATE HIGHER AFTER SYMPATHECTOMY
Has the clinical definition of thromboangiitis obliterans changed ...
Amputation rate after sympathectomy was higher in. females: 36% vs 22%. A revascularization procedure was performed in 15 (0.6%) ...www.springerlink.com/index/U20N650672742U24.pdf
Changes in hemodynamics of the carotid and middle cerebral arteries following sympathectomy
http://stroke.ahajournals.org/cgi/content/full/33/5/1180
CEREBRAL ISCHEMIA FOLLOWING SYMPATHECTOMY
Thoracoscopic sympathectomy for symptomatic arterial obstruction ...
Two patients died during follow-up: 1 of myocardial infarction and 1 of cerebral ischemia, 24 and 32 months, respectively, after the operation. ...ats.ctsnetjournals.org/cgi/content/full/74/3/885
International Journal of Cardiology : One of the most frequent ...
Nineteen of 344 (11.9%) patients died during follow-up due to cerebral ... After sympathectomy, in postoperative term, the retroperitoneal hematoma occurred ...linkinghub.elsevier.com/retrieve/pii/S0167527306000854
ADVERSE EFFECT ON KIDNEY
Role of sympathetic neurons in biochemical and functional ...
These results indicate that neonatal sympathectomy has an adverse effect on the biochemical and functional development of the kidney. ...jpet.aspetjournals.org/cgi/content/abstract/246/2/427 -
- Acta Psychiatr Neurol. 1949;24(3-4):473-9.
Kidney function in essential hypertension before and after sympathectomy a.m. Peet.
HILDEN T.
PMID: 15396150 [PubMed - indexed for MEDLINE]
SKIN AND SYMPATHECTOMY
Sympathectomy Protects Denervated Skin from Graft-Versus-Host Disease
Mohamed A. Kharfan-Dabaja MDa, Claudio Anasetti MDa and James L.M. Ferrara MDb
a
Division of Blood and Marrow Transplantation, H. Lee Moffitt Cancer Center and Research Institute and University of South
Florida, Tampa, Florida
b
Departments of Pediatrics and Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan
Available online 20 February 2007.
Translated: this means that sympathectomy reduces the skin immune responses. Not a good thing. There are some surgeons - who offer sympathectomy - who promise that it will aslo cure acne!!!! Quite the contrary. Your skin will have less resilience and more prone to infections as it will have a downregulated immue reponse. Just another 'euphemism' from the doctors, that is totally unsubstantiated and fraudulent.
Mohamed A. Kharfan-Dabaja MDa, Claudio Anasetti MDa and James L.M. Ferrara MDb
a
Division of Blood and Marrow Transplantation, H. Lee Moffitt Cancer Center and Research Institute and University of South
Florida, Tampa, Florida
b
Departments of Pediatrics and Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan
Available online 20 February 2007.
Translated: this means that sympathectomy reduces the skin immune responses. Not a good thing. There are some surgeons - who offer sympathectomy - who promise that it will aslo cure acne!!!! Quite the contrary. Your skin will have less resilience and more prone to infections as it will have a downregulated immue reponse. Just another 'euphemism' from the doctors, that is totally unsubstantiated and fraudulent.
MSAC ON SYMPATHECTOMY
The Medicare Benefits Schedule (MBS) has evolved over time in response to changes in medical practice. Medicare benefits are payable in respect of a medical service listed in the MBS where that service is:
Medicare item 35003 relates to the performance of cervical or upper thoracic sympathectomy by any surgical approach (irrespective of whether it is conducted by open exposure or endoscopically). Sympathectomy has been listed on the MBS for over three decades, and permitted by any surgical approach since 1991.
The Medical Services Advisory Committee (MSAC) was established in 1998 to advise the Minister for Health and Ageing on the strength of evidence pertaining to new and emerging medical technologies and procedures in relation to their safety, effectiveness and cost-effectiveness and under what circumstances public funding should be supported. MSAC has never considered this procedure, as it was listed on the MBS prior to MSAC's formation, and is therefore not a 'new and emerging medical technology'.
The Government relies on the advice of the medical profession in relation to the clinical relevance of procedures already listed on the MBS. If the Royal Australasian College of Surgeons were to formally advise the Government that it no longer regards this procedure as being clinically relevant, the Government would take appropriate action in relation to the MBS.
- provided by a medical practitioner, and
- a clinically relevant service (generally accepted in the medical profession as being necessary for the appropriate treatment of the patient).
Medicare item 35003 relates to the performance of cervical or upper thoracic sympathectomy by any surgical approach (irrespective of whether it is conducted by open exposure or endoscopically). Sympathectomy has been listed on the MBS for over three decades, and permitted by any surgical approach since 1991.
The Medical Services Advisory Committee (MSAC) was established in 1998 to advise the Minister for Health and Ageing on the strength of evidence pertaining to new and emerging medical technologies and procedures in relation to their safety, effectiveness and cost-effectiveness and under what circumstances public funding should be supported. MSAC has never considered this procedure, as it was listed on the MBS prior to MSAC's formation, and is therefore not a 'new and emerging medical technology'.
The Government relies on the advice of the medical profession in relation to the clinical relevance of procedures already listed on the MBS. If the Royal Australasian College of Surgeons were to formally advise the Government that it no longer regards this procedure as being clinically relevant, the Government would take appropriate action in relation to the MBS.
Symathectomy - controversial procedure
THE ROYAL COLLEGE OF AUSTRALASIAN SURGEONS DECLARES THAT ENDOSCOPIC THORACIC SYMPATHECTOMY IS A CONTROVERSIAL PROCEDURE, WITH NO INDEPENDENT STUDIES TO SUPPORT THE SAFETY OR EFFECTIVENESS OF THE SURGERY.
Insurance companies do not insure surgeons for sympathectomy
Yes, hard to believe but surgeons have to be forced in this way to discontinue performing the operation as it cost insurance companies too much money. These cases are settled before it has a chance to go to court and have some publicity. The people who decide to take the payments have to do so in exchange of a gag order. They can never speak about the operation. Not to anybody, anywhere, in any form. This kind of silencing and secrecy is perpetuating the surgeons ability to sell and perform the surgery on the unsuspecting and misinformed patient.
At least there is some change in Australia, but not all insurance companies have the same policy.
In the meantime many people fall victim to the euphemism and ignorance of the surgeons and end up having a procedure that was a predecessor of lobotomy.
It is the medical scandal of this century!!!!
I never thought that the insurance companies will play the role of protecting the patient from potentially harmful procedures. Isn't that the of the medical profession and government agencies overseeing medical procedures. Somebody failing the patients here!
Sympathectomy (coverage will not be provided for this procedure)
www.avant.org.au/public/pdf/Standard_Policy_Application_Form.pdf -
At least there is some change in Australia, but not all insurance companies have the same policy.
In the meantime many people fall victim to the euphemism and ignorance of the surgeons and end up having a procedure that was a predecessor of lobotomy.
It is the medical scandal of this century!!!!
I never thought that the insurance companies will play the role of protecting the patient from potentially harmful procedures. Isn't that the of the medical profession and government agencies overseeing medical procedures. Somebody failing the patients here!
Sympathectomy (coverage will not be provided for this procedure)
www.avant.org.au/public/pdf/
Monckeberg's sclerosis after sympathectomy
Monckeberg's sclerosis after sympathetic denervation in diabetic and non-diabetic
subjects.
Goebel FD, Fuessl HS.
Medial arterial calcification is frequently seen in diabetic patients with severe diabetic
neuropathy. Sixty patients (19 diabetic and 41 non-diabetic) were examined
radiologically for typical Monckeberg's sclerosis of feet arteries 6-8 years after uni- or
bilateral lumbar sympathectomy. Fifty-five out of 60 patients (92%) revealed medial
calcification. This calcification was observed in both feet of 93% of patients, who had
undergone bilateral operation. After unilateral sympathectomy the incidence of calcified
arteries on the side of operation was significantly higher than that on the contralateral
side (88% versus 18%, p less than 0.01). Although diabetic patients showed longer
stretches of calcification than non-diabetic subjects, the difference was not significant in
terms of incidence and length. Of 20 patients who had no evidence of calcinosis
pre-operatively, 11 developed medial calcification after unilateral operation exclusively
on the side of sympathectomy. In seven patients calcinosis was detected in both feet after
bilateral operation. In conclusion, sympathetic denervation is one of the causes of Monckeberg's sclerosis regardless of diabetes mellitus.
: Diabetologia. 1983 May;24(5):347-50.
subjects.
Goebel FD, Fuessl HS.
Medial arterial calcification is frequently seen in diabetic patients with severe diabetic
neuropathy. Sixty patients (19 diabetic and 41 non-diabetic) were examined
radiologically for typical Monckeberg's sclerosis of feet arteries 6-8 years after uni- or
bilateral lumbar sympathectomy. Fifty-five out of 60 patients (92%) revealed medial
calcification. This calcification was observed in both feet of 93% of patients, who had
undergone bilateral operation. After unilateral sympathectomy the incidence of calcified
arteries on the side of operation was significantly higher than that on the contralateral
side (88% versus 18%, p less than 0.01). Although diabetic patients showed longer
stretches of calcification than non-diabetic subjects, the difference was not significant in
terms of incidence and length. Of 20 patients who had no evidence of calcinosis
pre-operatively, 11 developed medial calcification after unilateral operation exclusively
on the side of sympathectomy. In seven patients calcinosis was detected in both feet after
bilateral operation. In conclusion, sympathetic denervation is one of the causes of Monckeberg's sclerosis regardless of diabetes mellitus.
: Diabetologia. 1983 May;24(5):347-50.
Sympathectomy is not a permanent solution
Nerves regenerate, sprout. The operation is not about the sweat glands, they remain intact. One study says 25% of cases report occurence of original symptoms within 5 years.
We do not know what happens later. Not with regarding the original condition.
We do not know what happens later. Not with regarding the original condition.
SUICIDE, DEPRESSION AFTER SYMPATHECTOMY
If you are wondering about the purpose of this website, let me give you some background information:A recent suicide (October 2007) of one of the most active members of the support group here in Sydney, made me think of more effective ways of getting the information out there. On this website, I will publish articles, or excerpts of articles that have been published in the last 70 or so years about the effects of the surgery, or to include links to those articles. I hope it will serve as a warning, at least in some cases and will deter people from the 'irreversible adjustment' to their body and mind.
For this friend, and the many others it remained a constant source of anger and depression (among many other ailments due to the surgery) that the doctors perform the surgery in FULL KNOWLEDGE of the potential and in most cases inevitable harm it will cause to the patient. Most people feel violated in the worst possible sense, as sthey went ahead with the surgery fully trusting the surgeon, the person who would, or should not cause harm - at least not knowingly.
Some interesting facts: no matter how many statistics about the success rate you will read from the surgeons who perform the surgery, it is mainly as advertising and a form of muscle flexing between the surgeons. THERE HAS BEEN NO INDEPENDENT STUDY OR TRIAL DONE ON THE EFFECTIVENESS (ESP. IN THE LONG TERM!) AND SAFETY OF THIS PROCEDURE.
BECAUSE OF THIS LACK OF RIGOROUS TESTING, THAT IS REQUIRED WITH EVERY DRUG COMPANIES PUT OUT INTO THE MARKET, THE SURGERY SHOULD BE CONSIDERED EXPERIMENTAL, AND PATIENTS SHOULD BE INFORMED ABOUT THIS FACT, AS THEY SHOULD BE INFORMED ABOUT THE FACT, THAT THERE IS NOT WAY TO PREDICT HOW THE PATIENT WILL COME OUT AT THE OTHER END. WITH NERVES IT CAN GET MESSY....ANOTHER REASON TO CONSIDER THE OPERATION AS EXPERIMENTAL.
THE MEDICAL PROFESSION, THE GOVERNMENT AGENCIES THAT SHOULD OVERSEE THE IMPLEMENTATION OF NEW SURGICAL TECHNIQUES AND TO FOLLOW UP ON THESE FAILED THE PATIENTS IN EVERY CASE WHEN SYMPATHECTOMY WAS PERFORMED, ESPECIALLY IF IT WAS NOT PERFORMED FOR THE CONTROL OF PAIN IN CANCER PATIENTS, BUT FOR A CONDITION THAT IS DEEMED TO BE A COSMETIC AND HAS OTHER, NONSURGICAL SOLUTIONS, LIKE BLUSHING OR SWEATING. AT THE END THE PATIENTS HAVE TO TURN TO THESE ANYWAY, AS THE SO-CALLED COMPENSATORY SWEATING OR NOW RENAMED TO A MORE POLITICALLY CORRECT TERM OF REFLEX SWEATING IS OFTEN WORST THAN THE ORIGINAL CONDITION THE PATIENT SEEKED THE TREATMENT FOR.
These are the thoughts of many of the post sympathectomy patients, as they struggle to understand something that is well beyond reason.
PS: Once I have permission from the family, I will publish this victim's name, in order to add more ...authenticity to this blog, this post, and the determination behind it.
