Endoscopic transthoracic sympathectomy in the treatment of primary hyperhidrosis. A review of 290 sympathectomies
D. Shachor, R. Jedeikin, D. Olsfanger, J. Bendahan, G. Sivak and U. Freund
Department of Surgery, Meir Hospital, Kfar Saba, Israel.
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.
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