Endoscopic thoracic sympathectomy for primary palmar hyperidrosis

Prasad, Arun; Ali, Mudasir; Kaul, Sunil C.

doi:10.1007/s00464-010-0885-5

Cited by 31 publications

(26 citation statements)

References 27 publications

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“…ETS had good outcomes for most of the patients and a low rate of complications, regardless of the different level of resection used, as also seen in other studies over recent years. 11,12 CH is frequently observed after ETS and has been described in nearly all previous studies. In some patients, the abundant compensatory sweating may be difficult to control and therefore may worsen their QoL and be a reason for them to regret the surgery.…”

Section: Discussionmentioning

confidence: 90%

Evaluation of quality of life over time among 453 patients with hyperhidrosis submitted to endoscopic thoracic sympathectomy

Wolosker

Campos

Kauffman

et al. 2012

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 90%

Evaluation of quality of life over time among 453 patients with hyperhidrosis submitted to endoscopic thoracic sympathectomy

Wolosker

Campos

Kauffman

et al. 2012

Journal of Vascular Surgery

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“…The mean operative time in our study was 26.25 minutes, while in the study done by Chen et al the mean operative time was 39.5 minutes, the prolonged operative time is mostly due to presence of adhesions between the chest wall and upper lobes and the bilateral ETS [24]- [26].…”

Section: Discussionmentioning

confidence: 58%

“…The overall satisfaction rate is dependent on the magnitude and impact on the quality of life of the problem solved by Endoscopic Thoracic Sympathectomy (ETS) [25]. Almost many authors revealed that patients recognize a high degree of patient satisfaction, as patients recognize that hyperhidrosis is a serious social problem that affect their interaction with other people, work, drive, or try to maintain their self-confidence and character [26]. Table 7 show the literature review of compensatory sweating and rate satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Single-Port Bilateral Thoracscopic Dorsal Sympathectmy for Primary Hyperhidrosis: Long-Term Outcome

Baram¹,

Bermani²

2014

WJCS

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Background: Primary hyperhidrosis of the upper limbs is characterized by over activity of the eccrine sweat glands, primarily occurring on palmar, plantar and axillary regions. It is distressing and often socially disabling condition. Conservative treatment is usually not effective in controlling the disease mainly due to adverse effect of therapies. Endoscopic thoracic sympathectomy is considered as the treatment of choice, causing minimal morbidity and high success rates and patient satisfaction. Objective: The study aims to evaluate the long-term outcomes of single port bilateralthoracoscopic dorsal sympathectomyin treatment of primary hyperhidrosis of the palm and axilla. Methods: In this prospective study, performed primarily by a single surgeon, between August 1st 2010, and August 1st 2012, we performed 200 thoracoscopies on 100 patients with signs and symptoms of primary palmar and axillary hyperhidrosis in different age groups and in both genders, and all were studied and analyzed following treatment by single-port bilateral thoracoscopic dorsal sympathectomy in Sulaimani teaching hospital. Results: Total of 99 patients were satisfied with the outcome of post-surgery with a follow-up in the mean of 27 months and only one patient was reported no change in symptoms postoperatively. Complications reported in 6 patients inform of compensatory sweating (n = 2), Gestatory sweating (n = 1), Pneumothorax (n = 1), Intraoperative minor bleeding (n = 1) and only 1% failure rate was reported. No mortality was reported. Conclusions: Single port bilateral thoracoscopic thoracic sympathectomy is a very effective method in the management of primary hyperhidrosis. Single port provides less postoperative pain, safety, short operative time, and quick method for the treatment of primary hyperhidrosis in comparison to two or three ports approaches.

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“…In the fourth, the mean operative time for each side was 15 minutes for T3-T4 sympathectomy and 28 minutes for T2-T4 sympathectomy 18 . In another study, mean postoperative stay was 1.1 days 22 . These evidences demonstrate that the operative time is short for the endoscopic surgery, varying according to the procedure of choice, and the average hospital stay does not exceed two days.…”

Section: Resection Level and Resultsmentioning

confidence: 90%

Simpatectomia torácica por videotoracoscopia: revisão da literatura.

Nicolini¹,

Costa²,

Montessi³

et al. 2019

Rev. Col. Bras. Cir.

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Thoracic sympathectomy has been effective in relieving hyperhidrosis in several patients, with quality of life improvement. The knowledge of the clinical picture of each patient, as well as the possible postoperative complications, are fundamental to obtain good results. Thus, we performed a review of articles from the PubMed database published between 2005 and 2019 that presented, as the main topic, thoracoscopy sympathectomy for the treatment of hyperhidrosis, with the objective of evaluating the current state of art referring to postoperative quality of life, surgical time and its complications. From this analysis, we verified the importance of the level of sympathetic ganglion chain section in relation to results. The complication, although occurring, did not reduced the postoperative level of satisfaction or patients' quality of life. NicoliniVideo-assisted thoracic sympathectomy: literature review.

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Endoscopic thoracic sympathectomy for primary palmar hyperidrosis

Cited by 31 publications

References 27 publications

Evaluation of quality of life over time among 453 patients with hyperhidrosis submitted to endoscopic thoracic sympathectomy

Evaluation of quality of life over time among 453 patients with hyperhidrosis submitted to endoscopic thoracic sympathectomy

Single-Port Bilateral Thoracscopic Dorsal Sympathectmy for Primary Hyperhidrosis: Long-Term Outcome

Simpatectomia torácica por videotoracoscopia: revisão da literatura.

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