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When does conversion from an endoscopic lumbar sympathectomy to open lumbar sympathectomy happen?

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When does conversion from an endoscopic lumbar sympathectomy to open lumbar sympathectomy happen?

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Overweight patients or those patients who had previous operations performed in the vicinity of the lumbar region (such as c-section, hysterectomy, kidney operation) can create scar tissue that will make the endoscopic lumbar sympathectomy more difficult to perform. The option of an open procedure is always available extremely uncommon.

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