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R. H. SMITHWICK, M.D.

Arch Surg. 1940;40(2):286-306.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Since the work of Royle and that of Hunter¹ on the relation between the sympathetic nervous system and spastic paralysis, it has become obvious that a striking and persistent increase in blood flow follows interruption of sympathetic pathways to the extremities. Although previous attempts to increase peripheral blood flow by periarterial sympathectomy² had been followed by transient improvement, lumbar ramisectomy as practiced by Royle³ and by Hunter¹ resulted in a more prolonged effect. This observation was the stimulus for extensive study of the relation between the sympathetic nervous system and the peripheral circulation. During the past fifteen years much has been learned about the anatomy and physiology of the sympathetic nervous system.⁴ Clinical application of this knowledge to the treatment of various peripheral vascular disorders now appears to be well established.

FUNDAMENTAL PRINCIPLES

Out of the tremendous amount of clinical and experimental evidence collected in . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

From the Surgical Services and the Clinic for Peripheral Vascular Disease of the Massachusetts General Hospital.

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