This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Matthias Kux, MD

Arch Surg. 1978;113(3):264-266.

Abstract
• An endoscopic technique is described for thoracic sympathectomy. After establishement of a pneumothorax, the thoracoscope is introduced into the pleural cavity. The telescope is equipped with a wire electrode, a grasping forceps, and a suction coagulation probe for endoscopic electroresection of the sympathetic trunk. In 63 patients, 124 endoscopic sympathectomies were performed. All patients were relieved of sweating in the hands; 18.6% still had some perspiration of the axilla. Side effects of thoracic sympathectomy were compensatory and gustatory sweating that, in four patients, were more embarrassing than the original form of hyperhidrosis. Fifty-five patients were highly satisfied with the result of endoscopic sympathectomy, which is considered the appropriate minor procedure for the treatment of upper limb hyperhidrosis, causing minimal discomfort to the patient and almost invisible scars.

(Arch Surg 113:264-266, 1978)

Author Affiliations
From the Department of Surgery, St Joseph Hospital, Vienna.

Footnotes
Accepted for publication Aug 10, 1977.

Reprint requests to Department of Surgery, St Joseph Hospital, Auhofstrasse 189, Vienna 1130, Austria (Dr Kux).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Reoperative endoscopic sympathectomy for persistent or recurrent palmar hyperhidrosis.
Freeman et al.
Ann. Thorac. Surg. 2009;88:412-416.
ABSTRACT | FULL TEXT  

Anaesthesia for endoscopic thoracic sympathectomy
Martin and Telford
Contin Educ Anaesth Crit Care Pain 2009;9:52-55.
FULL TEXT  

Minimally invasive thoracoscopic sympathectomy for palmar hyperhidrosis via a transaxillary single-port approach
Georghiou et al.
ICVTS 2004;3:437-441.
ABSTRACT | FULL TEXT  

Thoracoscopic sympathectomy for hyperhidrosis: indications and results
Doolabh et al.
Ann. Thorac. Surg. 2004;77:410-414.
ABSTRACT | FULL TEXT  

Thoracoscopic sympathectomy for palmar hyperhidrosis and Raynaud's phenomenon of the upper limb and excessive facial blushing: a five year experience
Rajesh et al.
Postgrad. Med. J. 2002;78:682-684.
ABSTRACT | FULL TEXT  

Video thoracoscopic sympathectomy with intraoperative monitoring of Palmar skin temperature for Palmar hyperhidrosis
Kao
Ann. Thorac. Surg. 2001;72:1801-1801.
FULL TEXT  

Needlescopic thoracic sympathectomy: treatment for palmar hyperhidrosis
Goh et al.
Ann. Thorac. Surg. 2000;70:240-242.
ABSTRACT | FULL TEXT  

Video assistance reduces complication rate of thoracoscopic sympathicotomy for hyperhidrosis
Zacherl et al.
Ann. Thorac. Surg. 1999;68:1177-1181.
ABSTRACT | FULL TEXT  

Thoracoscopic Sympathectomy for Upper Limb Hyperhidrosis: Looking for the Right Operation
Gossot et al.
Ann. Thorac. Surg. 1997;64:975-978.
ABSTRACT | FULL TEXT  

Endoscopic Sympathectomy Treatment for Craniofacial Hyperhidrosis
Kao et al.
Arch Surg 1996;131:1091-1094.
ABSTRACT  

Technical Considerations in Endoscopic Cervicothoracic Sympathectomy
Josephs and Menzoian
Arch Surg 1996;131:355-359.
ABSTRACT  

Video-Assisted Thoracic Surgery
Maziak and McKneally
Ann. Thorac. Surg. 1995;59:780-781.
FULL TEXT  

Endoscopic Sympathectomy
Cuschieri
SURG INNOV 1994;1:241-253.
ABSTRACT  

Transthoracic Endoscopic Sympathectomy in the Treatment of Palmar Hyperhidrosis
Chen et al.
Arch Surg 1994;129:630-633.
ABSTRACT  

Endoscopic Transthoracic Sympathectomy in the Treatment of Primary Hyperhidrosis: A Review of 290 Sympathectomies
Shachor et al.
Arch Surg 1994;129:241-244.
ABSTRACT  

Endoscopic Procedures of the Upper-Thoracic Sympathetic Chain: A Review
Drott et al.
Arch Surg 1993;128:237-241.
ABSTRACT  

Surgical Treatment of Primary Hyperhidrosis: A Report of 42 Cases
Bogokowsky et al.
Arch Surg 1983;118:1065-1067.
ABSTRACT