Prevention of compensatory hyperhidrosis after thoracoscopic sympathectomy for hyperhidrosis
Compensatory hyperhidrosis is a troublesome complication of thoracoscopic sympathectomy for hyperhidrosis. After extensive resection of the second through the fourth ganglion (T2-4), as well as after limited resection of the second ganglion (T2), the reported incidence of compensatory hyperhidrosis...
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| Veröffentlicht in: | Surgical endoscopy 2001-10, Vol.15 (10), p.1159-1162 |
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| creator | VAN'T RIET, M DE SMET, A. A. E. A KUIKEN, H KAZEMIER, G BONJER, H. J |
| description | Compensatory hyperhidrosis is a troublesome complication of thoracoscopic sympathectomy for hyperhidrosis. After extensive resection of the second through the fourth ganglion (T2-4), as well as after limited resection of the second ganglion (T2), the reported incidence of compensatory hyperhidrosis ranges as high as 50-97%. The purpose of this study was to determine whether the incidence of compensatory hyperhidrosis can be reduced by limiting the thoracoscopic sympathectomy to another level, the third ganglion.
We analyzed 28 thoracoscopic sympathectomies for palmar and/or axillary hyperhidrosis. In all patients, the sympathetic chain was transected cranially and caudally to the third ganglion (T3 dissection). Long-term follow-up was conducted by interviewing patients using standardized questionnaires.
The surgery was effective in all patients. After a median follow-up of 3.5 years, compensatory hyperhidrosis was not recorded in any of the patients. There were no recurrences of hyperhidrosis.
Limited thoracoscopic sympathectomy at the level of the third ganglion is effective and seems to prevent compensatory hyperhidrosis. |
| doi_str_mv | 10.1007/s004640090097 |
| format | Article |
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We analyzed 28 thoracoscopic sympathectomies for palmar and/or axillary hyperhidrosis. In all patients, the sympathetic chain was transected cranially and caudally to the third ganglion (T3 dissection). Long-term follow-up was conducted by interviewing patients using standardized questionnaires.
The surgery was effective in all patients. After a median follow-up of 3.5 years, compensatory hyperhidrosis was not recorded in any of the patients. There were no recurrences of hyperhidrosis.
Limited thoracoscopic sympathectomy at the level of the third ganglion is effective and seems to prevent compensatory hyperhidrosis.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s004640090097</identifier><identifier>PMID: 11727092</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adult ; Biological and medical sciences ; Female ; Humans ; Hyperhidrosis - etiology ; Hyperhidrosis - prevention & control ; Hyperhidrosis - surgery ; Male ; Medical sciences ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of endocrine glands ; Sympathectomy - adverse effects ; Sympathectomy - methods ; Thoracoscopy</subject><ispartof>Surgical endoscopy, 2001-10, Vol.15 (10), p.1159-1162</ispartof><rights>2002 INIST-CNRS</rights><rights>Springer-Verlag New York Inc. 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-d9a66d548f85c851778fe3f3f10a82ba1feb8e3ff1dcaf62645ae1889af284963</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14108840$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11727092$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VAN'T RIET, M</creatorcontrib><creatorcontrib>DE SMET, A. A. E. A</creatorcontrib><creatorcontrib>KUIKEN, H</creatorcontrib><creatorcontrib>KAZEMIER, G</creatorcontrib><creatorcontrib>BONJER, H. J</creatorcontrib><title>Prevention of compensatory hyperhidrosis after thoracoscopic sympathectomy for hyperhidrosis</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Compensatory hyperhidrosis is a troublesome complication of thoracoscopic sympathectomy for hyperhidrosis. After extensive resection of the second through the fourth ganglion (T2-4), as well as after limited resection of the second ganglion (T2), the reported incidence of compensatory hyperhidrosis ranges as high as 50-97%. The purpose of this study was to determine whether the incidence of compensatory hyperhidrosis can be reduced by limiting the thoracoscopic sympathectomy to another level, the third ganglion.
We analyzed 28 thoracoscopic sympathectomies for palmar and/or axillary hyperhidrosis. In all patients, the sympathetic chain was transected cranially and caudally to the third ganglion (T3 dissection). Long-term follow-up was conducted by interviewing patients using standardized questionnaires.
The surgery was effective in all patients. After a median follow-up of 3.5 years, compensatory hyperhidrosis was not recorded in any of the patients. There were no recurrences of hyperhidrosis.
Limited thoracoscopic sympathectomy at the level of the third ganglion is effective and seems to prevent compensatory hyperhidrosis.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperhidrosis - etiology</subject><subject>Hyperhidrosis - prevention & control</subject><subject>Hyperhidrosis - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of endocrine glands</subject><subject>Sympathectomy - adverse effects</subject><subject>Sympathectomy - methods</subject><subject>Thoracoscopy</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpd0M1LwzAYBvAgipvTo1cpgt6qeZM0TY4y_IKBHvQmlCxNaEfb1KQT-t-bscJQCLwQfnl48yB0CfgOMM7vA8aMM4xlPPkRmgOjJCUExDGaY0lxSnLJZugshA2OVEJ2imYAOcmxJHP09e7Nj-mG2nWJs4l2bW-6oAbnx6Qae-OruvQu1CFRdjA-GSrnlXZBu77WSRjbXg2V0YNrx8Q6__fNOTqxqgnmYpoL9Pn0-LF8SVdvz6_Lh1WqGYMhLaXivMyYsCLTIoM8F9ZQSy1gJchagTVrES8slFpZTjjLlAEhpLJEMMnpAt3uc3vvvrcmDEVbB22aRnXGbUOREwqUcIjw-h_cuK3v4m4FAZlhCnyXlu6Rjp8I3tii93Wr_FgALnadF386j_5qCt2uW1Me9FRyBDcTUEGrxnrV6TocHAMsBMP0F45NivE</recordid><startdate>20011001</startdate><enddate>20011001</enddate><creator>VAN'T RIET, M</creator><creator>DE SMET, A. 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A</creatorcontrib><creatorcontrib>KUIKEN, H</creatorcontrib><creatorcontrib>KAZEMIER, G</creatorcontrib><creatorcontrib>BONJER, H. 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A. E. A</au><au>KUIKEN, H</au><au>KAZEMIER, G</au><au>BONJER, H. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevention of compensatory hyperhidrosis after thoracoscopic sympathectomy for hyperhidrosis</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2001-10-01</date><risdate>2001</risdate><volume>15</volume><issue>10</issue><spage>1159</spage><epage>1162</epage><pages>1159-1162</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Compensatory hyperhidrosis is a troublesome complication of thoracoscopic sympathectomy for hyperhidrosis. After extensive resection of the second through the fourth ganglion (T2-4), as well as after limited resection of the second ganglion (T2), the reported incidence of compensatory hyperhidrosis ranges as high as 50-97%. The purpose of this study was to determine whether the incidence of compensatory hyperhidrosis can be reduced by limiting the thoracoscopic sympathectomy to another level, the third ganglion.
We analyzed 28 thoracoscopic sympathectomies for palmar and/or axillary hyperhidrosis. In all patients, the sympathetic chain was transected cranially and caudally to the third ganglion (T3 dissection). Long-term follow-up was conducted by interviewing patients using standardized questionnaires.
The surgery was effective in all patients. After a median follow-up of 3.5 years, compensatory hyperhidrosis was not recorded in any of the patients. There were no recurrences of hyperhidrosis.
Limited thoracoscopic sympathectomy at the level of the third ganglion is effective and seems to prevent compensatory hyperhidrosis.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>11727092</pmid><doi>10.1007/s004640090097</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Female Humans Hyperhidrosis - etiology Hyperhidrosis - prevention & control Hyperhidrosis - surgery Male Medical sciences Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of endocrine glands Sympathectomy - adverse effects Sympathectomy - methods Thoracoscopy |
| title | Prevention of compensatory hyperhidrosis after thoracoscopic sympathectomy for hyperhidrosis |
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