Long-term Assessment of Percutaneous Stereotactic Thermocoagulation of Upper Thoracic Ganglionectomy and Sympathectomy for Palmar and Craniofacial Hyperhidrosis in 1742 Cases

Chuang, King-Shun; Liu, Jiang-Chuan

doi:10.1227/00006123-200210000-00021

Cited by 13 publications

(27 citation statements)

References 25 publications

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“…The success rate exceeded 90% and frequency of complications was very low -0.2% for pneumothorax and 0.15% for permanent Horner's syndrome. The occurrence of intercostobrachial neuralgia was not reported by the authors 25 . Some departments use a combination of RF sympathectomy at the level T2 and subsequent application of 0.5 ml of 6% phenol.…”

Section: Discussionmentioning

confidence: 68%

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Radiofrequency upper thoracic sympathectomy in the treatment of critical upper limb ischemia - a case series

Gabrhelík¹,

Stehlík²,

Adamus³

et al. 2013

BIOMED PAP

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Background. Patients with significant medical and social problems resulting from impaired perfusion of the upper limbs caused by micro-or macro-angiopathy are now frequent in clinical practice. Vasospastic disease of the upper limbs of combined origin is a difficult condition to treat by conservative methods and therapeutic strategies are usually multidisciplinary. In addition to standard pharmacotherapy, treatment may involve regional anaesthesia, thoracoscopic or radiofrequency sympathectomy and surgical treatment of defects, including plastic surgery. Methods. This paper describes our successful work in the treatment of upper limb critical ischemia using radiofrequency upper thoracic sympathectomy. Results. In three case reports we present the results of radiofrequency thermolysis applied to treat patients with chronic defects of the hand and fingers. These patients were diagnosed with upper limb critical ischemia of combined origin, standard conservative treatment methods failed and surgical intervention was originally not indicated, however, radiofrequency thermolysis proved to be beneficial. Conclusions. Radiofrequency thoracic sympathectomy could improve peripheral perfusion of the upper limbs and thereby contribute to healing of chronic defects, reduction of pain and improvement in the quality of life of the patients.

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Section: Discussionmentioning

confidence: 68%

“…27 ) or class III (ref. 25,28 ). Presented case reports demonstrate success of RF-TSE in the treatment of severe perfusion disorders of the upper limbs of combined origin.…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency upper thoracic sympathectomy in the treatment of critical upper limb ischemia - a case series

Gabrhelík¹,

Stehlík²,

Adamus³

et al. 2013

BIOMED PAP

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“…Aunque puede aparecer en cualquier simpatectomía endoscópica torácica, es más frecuente en aquellos casos que han requerido una extensa lisis de adhesiones pleurales 12,51 . La clínica sugestiva de neumotórax consiste en dolor torácico progresivo, dolor con la respiración profunda o acortamiento progresivo de los movimientos respiratorios, que se desarrollan en las primeras horas o en los primeros dos días.…”

Section: Neumotóraxunclassified

“…Habitualmente es de pequeño tamaño y sin repercusión ventilatoria, tratándose conservadoramente; en caso contrario, puede requerir la inserción de un tubo de drenaje torácico. En series amplias aparece tan sólo en 0.2-0.5% de los pacientes 12,51 .…”

Section: Neumotóraxunclassified

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Simpatectomía toracoscópica: una revisión de la literatura

Bejarano¹,

Manrique²

2010

Neurocirugía

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Pulsed radiofrequency stimulation suppresses palmar hyperhidrosis in an animal study

Lin¹,

Huang

Kao

et al. 2017

Brain and Behavior

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ObjectivesPalmar hyperhidrosis (PH) exhibits excessive and unpredictable sweating. The most effective treatment for permanent cure is the ablation of thoracic sympathetic ganglia innervating hands. However, sympathectomy of T2 sympathetic ganglion by clipping or cauterization causes irreversible nerve damage, and results in a compensatory hyperhidrosis (CH). We herein used the pulsed radiofrequency (PRF) stimulation to reversibly block sympathetic ganglion to treat PH and avoid CH.Material and MethodsA bipolar electrode was implanted into the right T2 sympathetic trunk by endoscopic surgery and PRF was delivered through the electrode. The humidity (%) of right palm was measured to indicate sweating level.ResultsSix out of 13 rats (46.2%) that received a 5‐min PRF stimulation on the T2 sympathetic trunk showed a decrease in the right palm humidity during the surgery. PRF stimulation significantly reduced humidity from 69.17% ± 0.72% obtained from baseline condition to 66.93% ± 0.69%. The humidity reduction was also observed at 10 min after the PRF stimulation. We further evaluated the effect of PRF stimulation 1 week after surgery and found that the PRF stimuli reduced right hand humidity in 5 out of 8 rats (62.5%). PRF stimulation significantly reduced humidity from 66.11% ± 0.81% obtained from sham operation control to 63.62% ± 0.82%. The percentage of right hand humidity obtained 10 min after PRF stimulation was also reduced to 63.38% ± 0.80%. Anesthetics have no effect on humidity.ConclusionsThese results indicate that PRF stimulation of T2 sympathetic trunk reduces palm sweating in rats.

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Long-term Assessment of Percutaneous Stereotactic Thermocoagulation of Upper Thoracic Ganglionectomy and Sympathectomy for Palmar and Craniofacial Hyperhidrosis in 1742 Cases

Cited by 13 publications

References 25 publications

Radiofrequency upper thoracic sympathectomy in the treatment of critical upper limb ischemia - a case series

Radiofrequency upper thoracic sympathectomy in the treatment of critical upper limb ischemia - a case series

Simpatectomía toracoscópica: una revisión de la literatura

Pulsed radiofrequency stimulation suppresses palmar hyperhidrosis in an animal study

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