
Endoscopic Transthoracic Sympathectomy in the Treatment of Primary HyperhidrosisA Review of 290 Sympathectomies
Dov Shachor, MD;
Robert Jedeikin, MBChB;
David Olsfanger, MBChB;
Jose Bendahan, MD;
Galit Sivak, MD;
Uri Freund, MD
Arch Surg. 1994;129(3):241-244.
Abstract
 |  |
Objectives To describe the surgical technique of endoscopic transthoracic sympathectomy for the treatment of palmar hyperhidrosis and to identify associated complications.
Design Prospective clinical study.
Setting University referral center.
Patients A consecutive series of 150 patients with primary palmar hyperhidrosis.
Intervention The surgical procedure is performed under general anesthesia. A trocar and endoscope are inserted into the chest cavity. The sympathetic chain and the second, third, and fourth ganglia are then identified, cauterized, and cut. After reinflation of the lung, the procedure is repeated on the other side.
Results Two hundred ninety sympathectomies were performed with a 98% success rate. Complications of the procedure included pneumothorax in seven patients (2.4%), hemothorax in three (1.0%), and temporary Horner's syndrome in two (0.7%). Severe postoperative pain during the first 2 to 4 hours required treatment. Of 60 patients who were followed up for 12 months, 50% developed compensatory sweating and 8.3% developed rebound sweating. Hyperhidrosis recurred in three patients.
Conclusion Endoscopic transthoracic sympathectomy is an effective form of treatment for palmar primary hyperhidrosis, is associated with a low morbidity, and can be performed as an ambulatory procedure.
(Arch Surg. 1994;129:241-244)
Author Affiliations
From the Departments of Surgery A (Drs Shachor, Bendahan, Sivak, and Freund) and the Departments of Anesthesia and Intensive Care (Drs Jedeikin and Olsfanger), Meir Hospital, Kfar Saba, Israel, and the Sackler School of Medicine, University of Tel Aviv, Israel.
CiteULike Connotea Del.icio.us Digg Reddit Technorati Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
 |
Clinical Experience in 397 Consecutive Thoracoscopic Sympathectomies
Kwong et al.
Ann. Thorac. Surg. 2005;80:1063-1066.
ABSTRACT
| FULL TEXT
Thoracoscopic sympathectomy for hyperhidrosis: indications and results
Doolabh et al.
Ann. Thorac. Surg. 2004;77:410-414.
ABSTRACT
| FULL TEXT
Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis
Gossot et al.
Ann. Thorac. Surg. 2003;75:1075-1079.
ABSTRACT
| FULL TEXT
Video-assisted thoracoscopic ""resympathicotomy"" for palmar hyperhidrosis: analysis of 42 cases
Lin
Ann. Thorac. Surg. 2001;72:895-898.
ABSTRACT
| FULL TEXT
Early complications of thoracic endoscopic sympathectomy: a prospective study of 940 procedures
Gossot et al.
Ann. Thorac. Surg. 2001;71:1116-1119.
ABSTRACT
| FULL TEXT
Needlescopic surgery for palmar hyperhidrosis
Yamamoto et al.
J. Thorac. Cardiovasc. Surg. 2000;120:276-279.
ABSTRACT
| FULL TEXT
Clinical experience with video-assisted thoracic sympathectomy through the retrosternal pulmonary junction
Yamamoto et al.
Ann. Thorac. Surg. 1999;68:2361-2363.
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
Technical Considerations in Endoscopic Cervicothoracic Sympathectomy
Josephs and Menzoian
Arch Surg 1996;131:355-359.
ABSTRACT
|