Medicine
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Targeting Gray Rami Communicantes in Selective Chemical Lumbar Sympathectomy
Chapters
Summary
We present a protocol for selective chemical lumbar sympathectomy (CLS), which inactivates only gray rami communicantes and not the sympathetic trunk. Selective CLS can help achieve therapeutic efficacy in vasodilation, sweat reduction, and pain relief that are comparable to conventional CLS, and serious complications, particularly ureteropelvic damages, can be reduced.
Tags
Gray Rami Communicantes Selective Chemical Lumbar Sympathectomy Ureteropelvic Damage Conventional Chemical Lumbar Sympathectomy CLS Activating Agents Anterior Fascia Psoas Major Muscle Indications Contraindications Skin Disinfection Needle Puncture Site Iodine Disinfectant Surgical Towels Lateral Thoroscopy Guidance Anesthetic Injection Lidocaine Without Vasoconstrictors Vertebral Body Surface Contrast Agent Injection Phenol SolutionRelated Videos
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