Video endoscopic sympathectomy for palmar hyperhidrosis

Journal of Neurosurgery
K H Lee, P Y Hwang

Abstract

Palmar hyperhidrosis has been treated using a variety of medical and surgical techniques with varying degrees of success. The authors report their experience in 82 patients in whom they performed 164 sympathectomies using a video endoscope, a laparoscopic grasper, and microscissors. Patients were monitored by palm temperature electrodes. An intraoperative histological confirmation of the sympathetic chain and a temperature rise of at least 1 degree C after the procedure resulted in complete relief of the hyperhidrosis. All the patients were relieved of their symptoms, and 41 experienced decreased plantar hyperhidrosis as well. Compensatory hyperhidrosis in 50 patients was the only significant side effect, which improved 6 months after the surgery. Video endoscopic thoracic sympathectomy is a safe, easy, reliable, and cost-effective way to treat palmar hyperhidrosis.

References

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Citations

Dec 1, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Marlos CoelhoAníbal Wood Branco
Jul 31, 2007·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Nowell SolishUNKNOWN Canadian Hyperhidrosis Advisory Committee
May 17, 2001·Surgical Endoscopy·M HashmonaiD Kopelman
Jan 29, 2008·The Annals of Thoracic Surgery·King F KwongMark J Krasna
Jul 28, 2001·Seminars in Cutaneous Medicine and Surgery·R G Glogau
Jul 29, 2004·Journal of the American Academy of Dermatology·John HornbergerUNKNOWN Multi-Specialty Working Group on the Recognition, Diagnosis, and Treatment of Primary Focal Hyperhidrosis
Aug 27, 2005·The Annals of Thoracic Surgery·King F KwongMark J Krasna
Jan 1, 1996·Acta neurochirurgica·A GieseM Westphal
Apr 14, 2000·Neurosurgery·V VanaclochaF Panta
May 12, 2000·Neurosurgery·J B WahligJ D Luketich

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