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A BASIS FOR SYMPATHECTOMY FOR CANCER OF THE CERVIX UTERI

A BASIS FOR SYMPATHECTOMY FOR CANCER OF THE CERVIX UTERI Abstract IN RECENT years several attempts have been made to relieve pain in certain cancerous diseases through action on the sympathetic nervous system. By blocking the sympathetic pathways with an anesthetic solution or by surgical interruption, the fibers conducting painful sensations arising in the area involved in the neoplasia are interrupted and the painful stimulations originated in the tumoral area cannot reach the cerebrospinal centers. In this way can be relieved the visceral pain of tumors located in such organs as the uterus, stomach, pancreas and breast. One must remember, however, that the sympathetic approach relieves pain onlyin the region whose sympathetic innervation has been interrupted; if the tumor grows and invades the adjacent organs beyond the area anesthetized by section of the sympathetic innervation, the painful sensations will reappear. This is true also if the tumor keeps within the anesthetized visceral area but a metastasis develops in a distant region, References 1. Leriche, R.: The Surgery of Pain , translated and edited by A. Young, Baltimore, Williams & Wilkins Company, 1939. 2. Greenhill, J. P.: Control of Pain in Cases of Cancer , M. Clin. North America 25:117, 1941. 3. Cutler, M., and Buschke, F.: Cancer: Its Diagnosis and Treatment , Philadelphia, W. B. Saunders Company, 1938. 4. Graves, cited by Cutler and Buschke.3 5. Leriche, R., and Stricker, P.: Recherches expérimentales sur le nerf presacré , Bull. et mém. Soc. nat. de chir. 53:819, 1927. 6. Campbell, W. G.: Rôle of Sympathetic Nervous System in Segmental Pain , Lancet 2:930, 1939.Crossref 7. Cotte, G.: La sympathectomie hypogastrique a-t-elle sa place dans la therapeutique gynécologique? Presse méd. 33:98, 1925. 8. Fontaine, R., and Herrmann, L. G.: Clinical and Experimental Basis for Surgery of the Pelvic Sympathetic Nerves in Gynecology , Surg., Gynec. & Obst. 54:133, 1932. 9. Leriche, R.: Résultats de la sympathectomie faite sur les artères hypogastrique et ovarienne en gynécologie , Presse méd. 33:465, 1925. 10. Cleland, J. G. P.: Paravertebral Anaesthetic in Obstetrics , Surg., Gynec. & Obst. 57:51, 1933. 11. Shumacker, H. B.; Manahan, C. P., and Hellman, L. M.: Sympathetic Anesthesia in Labor , Am. J. Obst. & Gynec. 45:129, 1943. 12. Jarvis, S. M.: Paravertebral Sympathetic Nerve Block: A Method for the Safe and Painless Conduct of Labor , Am. J. Obst. & Gynec. 47:335, 1944. 13. Kuntz, A.: The Autonomic Nervous System , Philadelphia, Lea & Febiger, 1934. 14. Laborde, S.: Les résultats de la radiothérapie des cancers cervico-utérins du premier degré: Statistique de l'Institut du cancer , Bull. Assoc. franç. p. l'étude du cancer 30:43, 1942. 15. Laborde, S.: Que se pode esperar de radioterapia dos cancros , Arq. de pat. 11:26, 1939. 16. Cutler, M.: The Problem of Radiosensitivity , J. A. M. A. 103:1204 ( (Oct. 20) ) 1934. 17. Cathie, J. A. B.: Some Histological Tumor Variants and Their Influence upon Radiosensitivity , Radiology 32:425, 1939. 18. Stewart, F. W., and Farrow, J. H.: The Radiosensitivity of Tumors , in Pack, G. T., and Livingston, E. M.: Treatment of Cancer and Allied Diseases , New York, Paul B. Hoeber, Inc., 1940, vol. 1, p. 98. 19. Regaud, cited by Cutler and Buschke.3 20. Warren, S.: The Radiosensitivity of Tumors , Am. J. Roentgenol. 45:641, 1941. 21. Lenz, M., and Haagensen, C. D.: The Treatment of Cancer , in Nelson's Loose-Leaf Living Surgery , New York, Thos. Nelson & Sons, 1927, vol. 2, p. 135. 22. Roussy and Leroux, cited by Laborde.15 23. Ewing and Pullinger, cited by Lenz and Haagensen.21 24. Gentil, F.: La diathermie gynécologique, moyen auxiliaire precieux de la curietherapie utero-vaginale , Arq. de pat. 2:300, 1930. 25. Guedes, B.: La diathermie gynecologique, moyen auxiliaire de la curiethérapie utérovaginale , Cong. internat. de physiol. , 1930. 26. Quick, D.: The Present States of Radium Therapy , Am. J. Roentgenol. 47:607, 1942 27. Radium in Present Day Therapeusis , New York State J. Med. 44: 981, 1944. 28. Daland, E. M.: Radiation Damage to Tissue and Its Repair , Surg., Gynec. & Obst. 72:372, 1941. 29. Mottram, J. C.: On the Spacing of Radiation According to Variation in Radio-Sensitivity , Brit. J. Radiol. 9:824, 1936. 30. Packard, cited by Cutler.16 31. Jolly, J.: Action des rayons x sur les cellules: Diminution de la réaction d'un organe sensible par la ligature des artères afférentes , Compt. rend. Soc. de biol. 91:532, 1924. 32. Ferroux, Jolly and Lacassagne, cited by Cutler and Buschke.3 33. Hovelacque, A.: Anatomie des nerfs craniens et rachidiens et du système grand sympathique , chez l'homme, Paris, G. Doin & Cie, 1927. 34. Lundy, J. S.: Clinical Anesthesia: A Manual of Clinical Anesthesiology , Philadelphia, W. B. Saunders Company, 1944, p. 159. 35. Leriche, R., and Fontaine, R.: Technic and Indications for Procaine Hydrochloride Infiltration of Lumbar Sympathetic , Presse méd. 42:1843, 1934. 36. Ochsner, A., and De Bakey, M.: Treatment of Thrombophlebitis by Novocaine Block of Sympathetics: Technique of Injection , Surgery 5:491, 1939. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

A BASIS FOR SYMPATHECTOMY FOR CANCER OF THE CERVIX UTERI

Archives of Surgery , Volume 52 (3) – Mar 1, 1946

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Publisher
American Medical Association
Copyright
Copyright © 1946 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1946.01230050265003
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Abstract

Abstract IN RECENT years several attempts have been made to relieve pain in certain cancerous diseases through action on the sympathetic nervous system. By blocking the sympathetic pathways with an anesthetic solution or by surgical interruption, the fibers conducting painful sensations arising in the area involved in the neoplasia are interrupted and the painful stimulations originated in the tumoral area cannot reach the cerebrospinal centers. In this way can be relieved the visceral pain of tumors located in such organs as the uterus, stomach, pancreas and breast. One must remember, however, that the sympathetic approach relieves pain onlyin the region whose sympathetic innervation has been interrupted; if the tumor grows and invades the adjacent organs beyond the area anesthetized by section of the sympathetic innervation, the painful sensations will reappear. This is true also if the tumor keeps within the anesthetized visceral area but a metastasis develops in a distant region, References 1. Leriche, R.: The Surgery of Pain , translated and edited by A. Young, Baltimore, Williams & Wilkins Company, 1939. 2. Greenhill, J. P.: Control of Pain in Cases of Cancer , M. Clin. North America 25:117, 1941. 3. Cutler, M., and Buschke, F.: Cancer: Its Diagnosis and Treatment , Philadelphia, W. B. Saunders Company, 1938. 4. Graves, cited by Cutler and Buschke.3 5. Leriche, R., and Stricker, P.: Recherches expérimentales sur le nerf presacré , Bull. et mém. Soc. nat. de chir. 53:819, 1927. 6. Campbell, W. G.: Rôle of Sympathetic Nervous System in Segmental Pain , Lancet 2:930, 1939.Crossref 7. Cotte, G.: La sympathectomie hypogastrique a-t-elle sa place dans la therapeutique gynécologique? Presse méd. 33:98, 1925. 8. Fontaine, R., and Herrmann, L. G.: Clinical and Experimental Basis for Surgery of the Pelvic Sympathetic Nerves in Gynecology , Surg., Gynec. & Obst. 54:133, 1932. 9. Leriche, R.: Résultats de la sympathectomie faite sur les artères hypogastrique et ovarienne en gynécologie , Presse méd. 33:465, 1925. 10. Cleland, J. G. P.: Paravertebral Anaesthetic in Obstetrics , Surg., Gynec. & Obst. 57:51, 1933. 11. Shumacker, H. B.; Manahan, C. P., and Hellman, L. M.: Sympathetic Anesthesia in Labor , Am. J. Obst. & Gynec. 45:129, 1943. 12. Jarvis, S. M.: Paravertebral Sympathetic Nerve Block: A Method for the Safe and Painless Conduct of Labor , Am. J. Obst. & Gynec. 47:335, 1944. 13. Kuntz, A.: The Autonomic Nervous System , Philadelphia, Lea & Febiger, 1934. 14. Laborde, S.: Les résultats de la radiothérapie des cancers cervico-utérins du premier degré: Statistique de l'Institut du cancer , Bull. Assoc. franç. p. l'étude du cancer 30:43, 1942. 15. Laborde, S.: Que se pode esperar de radioterapia dos cancros , Arq. de pat. 11:26, 1939. 16. Cutler, M.: The Problem of Radiosensitivity , J. A. M. A. 103:1204 ( (Oct. 20) ) 1934. 17. Cathie, J. A. B.: Some Histological Tumor Variants and Their Influence upon Radiosensitivity , Radiology 32:425, 1939. 18. Stewart, F. W., and Farrow, J. H.: The Radiosensitivity of Tumors , in Pack, G. T., and Livingston, E. M.: Treatment of Cancer and Allied Diseases , New York, Paul B. Hoeber, Inc., 1940, vol. 1, p. 98. 19. Regaud, cited by Cutler and Buschke.3 20. Warren, S.: The Radiosensitivity of Tumors , Am. J. Roentgenol. 45:641, 1941. 21. Lenz, M., and Haagensen, C. D.: The Treatment of Cancer , in Nelson's Loose-Leaf Living Surgery , New York, Thos. Nelson & Sons, 1927, vol. 2, p. 135. 22. Roussy and Leroux, cited by Laborde.15 23. Ewing and Pullinger, cited by Lenz and Haagensen.21 24. Gentil, F.: La diathermie gynécologique, moyen auxiliaire precieux de la curietherapie utero-vaginale , Arq. de pat. 2:300, 1930. 25. Guedes, B.: La diathermie gynecologique, moyen auxiliaire de la curiethérapie utérovaginale , Cong. internat. de physiol. , 1930. 26. Quick, D.: The Present States of Radium Therapy , Am. J. Roentgenol. 47:607, 1942 27. Radium in Present Day Therapeusis , New York State J. Med. 44: 981, 1944. 28. Daland, E. M.: Radiation Damage to Tissue and Its Repair , Surg., Gynec. & Obst. 72:372, 1941. 29. Mottram, J. C.: On the Spacing of Radiation According to Variation in Radio-Sensitivity , Brit. J. Radiol. 9:824, 1936. 30. Packard, cited by Cutler.16 31. Jolly, J.: Action des rayons x sur les cellules: Diminution de la réaction d'un organe sensible par la ligature des artères afférentes , Compt. rend. Soc. de biol. 91:532, 1924. 32. Ferroux, Jolly and Lacassagne, cited by Cutler and Buschke.3 33. Hovelacque, A.: Anatomie des nerfs craniens et rachidiens et du système grand sympathique , chez l'homme, Paris, G. Doin & Cie, 1927. 34. Lundy, J. S.: Clinical Anesthesia: A Manual of Clinical Anesthesiology , Philadelphia, W. B. Saunders Company, 1944, p. 159. 35. Leriche, R., and Fontaine, R.: Technic and Indications for Procaine Hydrochloride Infiltration of Lumbar Sympathetic , Presse méd. 42:1843, 1934. 36. Ochsner, A., and De Bakey, M.: Treatment of Thrombophlebitis by Novocaine Block of Sympathetics: Technique of Injection , Surgery 5:491, 1939.

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1946

References