Secondary sympathetic chain reconstruction after endoscopic thoracic sympathicotomy

Telaranta, Timo

doi:10.1080/11024159850191076

Cited by 41 publications

(35 citation statements)

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“…Therefore, some authors advocate a limited resection [49,66,67]. There is no evidence concerning the extent of dissection or resection so far [24,68,69]. Interestingly[90% of patients with compensatory sweating were satisfied with the results of the operation [27,39].…”

Section: Analysis Of Compensatory Sweatingmentioning

confidence: 99%

Thoracoscopic sympathectomy for palmar and axillary hyperhidrosis: four-year outcome and quality of life after bilateral 5-mm dual port approach

et al. 2009

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Currently different effective surgical approaches for the treatment of hyperhidrosis with improvement rates of more than 80% are available. The quality of the intervention has to be evaluated by changes in quality of life and intensity of compensatory sweating. Thoracoscopic sympathectomy as performed in our institution offers results and complications comparable to previously published trials; however, because of single-lumen ventilation the management is much easier. Therefore, this technique offers an interesting option for the treatment of patients with palmar and axillary hyperhidrosis.

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Section: Analysis Of Compensatory Sweatingmentioning

confidence: 99%

Thoracoscopic sympathectomy for palmar and axillary hyperhidrosis: four-year outcome and quality of life after bilateral 5-mm dual port approach

et al. 2009

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“…The same CH pattern persisted in only 19% of the patients. (19,20) It has been observed that these alterations occur at several levels and that, different from thoracic sympathectomy, they are independent from the sympathetic chain resection level, since the surgeon always attempts to remove the L2 and L3 lumbar ganglia. (36) Few studies have associated lumbar sympathectomy, hyperhidrosis and compensatory sweating.…”

Section: Sympathetic Chain Reinnervationmentioning

confidence: 99%

Diretrizes para a prevenção, diagnóstico e tratamento da hiperidrose compensatória

et al. 2008

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With the objective of establishing guidelines for the prevention, diagnosis and treatment of compensatory hyperhidrosis, consensus meetings were held. Attendees included a general surgeon and thoracic surgeons affiliated with the Brazilian Society of Thoracic Surgery. The topics addressed were those that would ostensibly broaden multidisciplinary knowledge. Based on recent guidelines for the prevention, diagnosis and (clinical and surgical) treatment of compensatory hyperhidrosis, as well as on a review of the medical literature, the participants prepared a preliminary text, whose recommendations were revised and subsequently approved by all of the participants. The consensus text was posted on the Internet, becoming the object of further corrections and revisions prior to taking on its present form.Keywords: Hyperhidrosis/therapy; Hyperhidrosis/surgery; Sympathectomy/methods; Postoperative complications; Thoracic surgery, video-assisted. ResumoCom o objetivo de se estabelecer diretrizes para a prevenção, o diagnóstico e o tratamento da hiperidrose compensatória, foram realizadas reuniões consensuais com a participação de cirurgiões torácicos filiados à Sociedade Brasileira de Cirurgia Torácica e um cirurgião geral em que foram abordados tópicos de modo a abranger conhecimentos multidisciplinares. A partir de textos recentes com diretrizes para a prevenção, o diagnóstico e tratamento (clínico e cirúrgico) da hiperidrose compensatória, e baseados em revisão bibliográfica, os participantes elaboraram um texto preliminar, cujas recomendações foram submetidas à aprovação dos participantes, possibilitando uma revisão geral do texto final. Deste modo, obteve-se um texto básico que, veiculado pela internet, tornou-se objeto de novas correções e revisões até alcançar a forma final atual.

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“…Unfortunately, removal of clips in patients with CS has only been partially successfully in reversing severe CS [58,59]. Similarly, reconstruction with a nerve graft has enjoyed limited success [50]. Some research is underway to assess the use of topical glycopyrrolates for the management of CS after sympathectomy, with one author reporting an improvement in the majority of treated patients [60].…”

Section: Complications and Side Effects Of Endoscopic Thoracic Sympathementioning

confidence: 99%

“…A small percentage of patients undergoing sympathectomy will develop profound compensatory HH. With electrocautery, reversal of the procedure is not possible, except with elaborate nerve grafting, the efficacy of which is unclear [50]. Clip removal is thought to offer the potential for reversal of the procedure.…”

Section: Respiratory Effects Uncommon Excessive Dry Hands Uncommonmentioning

confidence: 99%

Hyperhidrosis: clinical presentation, evaluation and management

Schieman¹,

Gelfand²,

Grondin³

2010

Expert Review of Dermatology

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Secondary sympathetic chain reconstruction after endoscopic thoracic sympathicotomy

Abstract: We managed to minimise the number of negative and unnecessary laparotomies. We emphasise that the selective approach may easily be applied in teaching hospitals.

Cited by 41 publications

References 0 publications

Thoracoscopic sympathectomy for palmar and axillary hyperhidrosis: four-year outcome and quality of life after bilateral 5-mm dual port approach

Thoracoscopic sympathectomy for palmar and axillary hyperhidrosis: four-year outcome and quality of life after bilateral 5-mm dual port approach

Diretrizes para a prevenção, diagnóstico e tratamento da hiperidrose compensatória

Hyperhidrosis: clinical presentation, evaluation and management

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