Single incision thoracoscopic sympathectomy for hyperhidrosis

Ünal, Orçun; Çıtgez, Bülent; Battal, Muharrem; Karatepe, Oğuzhan

doi:10.1136/bcr.01.2012.5692

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…During the past decade, endoscopic thoracic sympathectomy (ETS) has become popular owing to its minimally invasive and efficient technique. 2,3 The other indications for ETS include Raynaud phenomenon, facial blushing, moyamoya disease, and long QT syndrome. [4][5][6][7] ETS can be used bilaterally.…”

Section: Discussionmentioning

confidence: 99%

“…1 Although surgical procedures can be highly invasive and can cause significant morbidity, minimally invasive thoracoscopic procedures associated with marginal postoperative morbidity have been developed that allow for detailed visualization of the sympathetic ganglia. 1,2 Of these, thoracic sympathectomy is most commonly performed, but the mechanism of thoracic sympathetic chain (TSC) regeneration is still not clear. Thus, objective histologic examinations of the clipped TSC should be performed to prove the hypothesis.…”

Section: Introductionmentioning

confidence: 99%

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Can Thoracic Sympathetic Nerve Damage Be Reversed?

Erol

Salcı

Melek

et al. 2014

Thorac cardiovasc Surg

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Can Thoracic Sympathetic Nerve Damage Be Reversed?

Erol

Salcı

Melek

et al. 2014

Thorac cardiovasc Surg

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“…Recurrence and complication rates for each procedure are different. 10,[14][15][16][17][18][19] Operative complication rate and the rate of compensatory sweating are higher in the practice of simultaneous bilateral sympathectomy than unilateral two-step procedure. 13 Recent studies have reported the use of one port.…”

Section: Introductionmentioning

confidence: 99%

Unilateral Sympathectomy for Primary Palmar Hyperhidrosis

Ravari

Rajabnejad

2015

Thorac cardiovasc Surg

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“…Many treatment modalities have been developed to address axillary hyperhidrosis and have had variable effects, which have depended on the severity of sweating and the demands of patients. These treatments have included topical aluminum salts, iontophoresis, systematic anticholinergic administration, and various laser devices and surgical procedures [1,2,3,4,5,6,7,8]. Out of the various laser therapies, subdermal 1,064-nm Nd:YAG and 1,320-nm laser treatments have been reported to treat PAH effectively [4,5].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Fractional Microneedle Radiofrequency Device in the Treatment of Primary Axillary Hyperhidrosis: A Pilot Study

et al. 2013

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Background: Fractional microneedle radiofrequency (FMR) devices deliver energy to the deep dermis through insulated microneedles without destroying the epidermis. These FMR devices have been shown to be effective for the treatment of wrinkles, acne scars and large pores. In this study it was postulated that FMR energy could specifically affect the sweat glands, preserving the skin surface even if sweat glands were seated in the deep dermis. Objective: To evaluate the efficacy and safety of FMR for primary axillary hyperhidrosis (PAH) treatment and to conduct a histological analysis before and after treatment. Methods: Twenty patients with PAH had 2 sessions of bipolar FMR treatment at 4-week intervals. Clinical improvement was evaluated using a Hyperhidrosis Disease Severity Scale (HDSS) and photographs were taken using the starch-iodine test at every visit and 2 months after the last treatment. The amount of sweat reduction was indirectly assessed using a Tewameter™. Skin biopsies were obtained from 3 of the enrolled patients before and after treatment. The satisfaction and adverse reactions of the research participants were recorded at every follow-up visit. Results: HDSS scores decreased significantly from a baseline of 3.3 to 1.5 and 1.8 after the first and second months of posttreatment follow-up sessions, respectively (p < 0.001). In response to a subjective assessment at 1 month after the second treatment, 75% of patients (n = 15) had an HDSS score of 1 or 2, and 70% of patients (n = 14) expressed more than 50% improvement in their sweating. The starch-iodine reaction was also remarkably reduced in 95% of patients (n = 19) after FMR treatment. Histological findings showed a decrease in the number and size of both apocrine and eccrine glands 1 month after the final treatment. Side effects were minimal and included mild discomfort, transient swelling and postinflammatory hyperpigmentation. Conclusion: FMR treatment was effective for the treatment of PAH without significant adverse reactions due to direct volumetric heating of the lower dermis.

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Single incision thoracoscopic sympathectomy for hyperhidrosis

Cited by 4 publications

References 6 publications

Can Thoracic Sympathetic Nerve Damage Be Reversed?

Can Thoracic Sympathetic Nerve Damage Be Reversed?

Unilateral Sympathectomy for Primary Palmar Hyperhidrosis

Efficacy of Fractional Microneedle Radiofrequency Device in the Treatment of Primary Axillary Hyperhidrosis: A Pilot Study

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