PMID: 9641386Jun 26, 1998Paper

Long-term results of 630 thoracoscopic sympathicotomies for primary hyperhidrosis: the Vienna experience

The European Journal of Surgery. Supplement. : = Acta Chirurgica. Supplement
J ZacherlR Függer

Abstract

To evaluate of the results of thoracoscopic sympathicotomy for upper limb hyperhidrosis with a median observation period of more than 15 years. Retrospective clinical observation study. University-affiliated tertiary referral centre. 630 consecutive operations in 352 patients (median age 30.1 yrs) for primary palmar (68%), axillary (12.7%) and combined hyperhidrosis (19.3%). Thoracoscopic sympathicotomy from below T1 to T4 including the fibres of Kuntz using electrocautery through single site access. Perioperative success and complication rates (all patients); long-term follow-up by a questionnaire and/or clinical examination (83.3% of patients) after a median period of 16 yrs. Calculation of statistical significance of differences between groups with c2-test. 67.8% of patients were fully satisfied, 25.7% were partially satisfied and would again agree to the operation. In 93% the procedure cured hyperhidrosis permanently. Compensatory and gustatory sweating was observed in 67% and 47% of cases, respectively. Overall success was significantly (p < 0.001) lower in the group with axillary hyperhidrosis. Main complications: drainage for pneumothorax 1.3%, Horner's syndrome in 3.8%, subcutaneous emphysema 2.1%. Thoracoscopic sympath...Continue Reading

Citations

Mar 6, 2008·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Uwe WollinaGunter Haroske
Oct 5, 2005·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Takeo FujitaNobuyoshi Shimizu
Feb 19, 2009·American Journal of Clinical Dermatology·Alexander GrunfeldNowell Solish
Mar 9, 2000·Hospital Medicine·N ChaudhuriA J Ritchie

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