A technique for extensive thoracolumbar sympathectomy without rib resection
In the evolution of the surgical treatment of arterial hypertension the trend has been toward increasingly more extensive sympathetic denervation. The procedures by which this has been achieved have often been associated with inherent technical difficulties to which have been attributed a high incidence of postoperative complications. An operative technique is described by which an extensive thoracolumbar sympathectomy is performed by a transpleural approach without rib resection. Following this procedure there is a marked decrease in the frequency of the complications ordinarily encountered after a retropleural operation with rib resection. © 1950.
Massell, Theodore B.; Ettinger, Jerome; and Voskamp, Jack R., "A technique for extensive thoracolumbar sympathectomy without rib resection" (1950). LLU Faculty Publications. 190.