Surgical Lumbal Sympathectomy Procedure as Favorable Treatment Modality for Complex Regional Pain Syndrome (CPRS)

1. Abstract 1.1: Background: Surgical sympathectomy is a surgical procedure to cut and cauterize the sympathetic nerve tissue that runs along the spine, which aims to reduce or eliminate the sympathetic nerve response according to its location. This was first performed in 1923 by Royle and has been a part of the vascular surgery sphere until now. According to the anatomical location, sympathectomy can be performed in the thoracic area or the lumbar area. Lumbar sympathectomy is performed by permanently damaging the sympathetic trunk and ganglion that is attached between L1 and L5, especially between L2 and L4.