HISTORY OF SYMPATHECTOMY.

In 1889 Alexander of Edinburgh resected the superior ganglion on both

sides. In 1892 Jacksh resected the vertebral plexus and cut the cord

connecting the middle and inferior ganglion. The third operator was

Kummel, who excised the superior ganglion on one side only. In 1893

Bojdanik made a bilateral resection of the middle ganglion. In 1896

Jaboulay made a bilateral section of the sympathetic cord, above and

below the middle ganglion. These operations were all made for epilepsy.

In regard to exophthalmic goiter, Jaboulay made a simple section of the

sympathetic early in 1896. In September of the same year Jonnesco

excised the superior and middle ganglia.

Jonnesco was the first, in 1896, to do a bilateral resection of all

three cervical ganglia, though it is claimed by a Polish surgeon,

Baracz, that he proposed the same in 1893. To Professor Jonnesco

furthermore belongs the credit of having first excised the superior

ganglion for glaucoma in September, 1897.

Ball of St. Louis was the first to remove the superior cervical ganglion

for optic-nerve atrophy. The date of this operation was June 24, 1899.

Terrier, Guillemain, and Malherbe, in their “Chirurgie du Cou,” 1898,

were among the first to give the surgery of the sympathetic a place in a

text-book.

Among those who have operated on the cervical sympathetic for the relief

either of glaucoma or exophthalmic goiter, or both, are Abadie, Réclus,

Gerard-Marchant, Chauffand and Quénu, Jeunet, Bled, Ball, Renaud, and

Bartlett.

Panas is opposed to sympathectomy in glaucoma. He reports seeing a

patient in whom, three months after the operation, vision was still

declining.

François-Frank, at a meeting of the Paris Academy of Medicine, held May

22, 1899, spoke of the effect of sympathectomy on the circulation of the

thyroid gland, brain, and eyes, and on the heart. He believes that the

operation can easily produce good results.

Doyon has described the trophic changes produced in the rabbit by

excision of the cervical sympathetic.

The Journal of Ophthalmology, Otology and Laryngology. Vol. XII. July, 1900. Part 3. · 第 52 / 64 题