What is the place of lumbar sympathectomy?

Although sympathetic innervation of the extremities has been studied voluminously, the clinical efficacy of sympathectomy remains controversial. This review will be limited to a consideration of the appropriate role of lumbar sympathectomy for primary treatment of intermittent claudication and skin ischaemia manifested by rest pain or superficial tissue loss.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/37948/1/1800691312_ftp.pd