T3T4 Endoscopic Sympathetic Blockade Versus T3T4 Video Thoracoscopic Sympathectomy in the Treatment of Axillary Hyperhidrosis

Coelho, Marlos de Souza; Silva, Ruy Fernando Kuenzer Caetano; Mezzalira, Giovanni; Neto, Nelson Bergonse; Junior, Wilson de Souza Stori; Santos, Anna Flávia Ribeiro dos; Haje, Samir El

doi:10.1016/j.athoracsur.2009.08.007

Cited by 17 publications

(5 citation statements)

References 22 publications

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“…Regarding to the recurrence rate, there was nonsignificant difference in between the two groups regarding to recurrence with P= 1 which agrees with the results by Abu-Gamila et al [23] and Scognamillo et al [19] In our study, all patients of the two groups had no recurrence but in the study done by Abu-Gamila et al [23] there was only 3.3% of patients had recurrence of their PH, also in another study by de Souza Coelho et al [24] in the VTS group, 2 patients (4.8%) had recurrence. Also Zhang et al [26] found that Seven articles compared recurrence rates between T3 and T4 with no significant difference in recurrence rates was found between the two groups.…”

Section: Discussionsupporting

confidence: 92%

“…In this study, the family history of hyperhidrosis was 35% in all the studied cases which in line with de Souza Coelho et al [24] who found that it was found in 31.1% of patients in this study, suggesting a familial factor. Also the family history of hyperhidrosis ranged from 15% to 50% [25].…”

Section: Discussionsupporting

confidence: 91%

“…In our study, there was no significant difference between the two groups in satisfaction results as all the studied cases were satisfied with the results while in the study done by de Souza Coelho et al [24] 75.0% of patients were very satisfied, 21.4% were satisfied, and 4.8% were dissatisfied.…”

Section: Discussioncontrasting

confidence: 51%

“…Its incidences have been reported by Cerfolio et al [49] ; Doft et al [50] to be around 1-6%. De Souza Coelho et al [24] also stated that pneumothorax was observed in only 1 patient (1.5%) in the VTS group.…”

Section: Gossot Et Almentioning

confidence: 91%

“…According to postoperative complications, the most common was compensatory sweating in 65% of the studied cases while Abu-Gamila et al, [46] who commented that the most common adverse effect of ETS is excessive CS seen in six (20%) patients in ETS patients but the incidence ranging from 30 to 90% in the study done by Schmidt et al De Souza Coelho et al [24] also stated that, compensatory sweating was observed in 65 patients (77.4%) which was near to the results of our study.…”

Section: Gossot Et Almentioning

confidence: 96%

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The Effect of T3 versus T4 Thoracoscopic Sympathectomy on Hyperhidrosis

Mesery

Ghoneim

Taha

et al. 2021

JAMMR

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Background: Primary hyperhidrosis is a disorder characterized by excessive sweating. However, surgical therapy is the most effective treatment for patients with primary hyperhidrosis. In between all different surgical approaches, video assisted thoracoscopic surgery (VATS) sympathectomy has been considered as a safe and minimally invasive procedure for palmer and axillary hyperhidrosis. The aim of this study was to evaluate the effectiveness of T3 vs. T4 sympathectomy regarding postoperative complications, recurrence and compensatory hyperhidrosis (CH) on 6 months follow up. Methods: This prospective randomized study was conducted over 20 patients undergoing VATS sympathectomy diagnosed with palmar hyperhidrosis and failed medical treatment and undergoing thoracoscopic sympathectomy. Patients were divided randomly into two groups; group A (T3 sympathectomy) and group B (T4 sympathectomy). Results: There was no significant difference between the two groups regarding the degree of treatment success, compensatory hyperhidrosis after one month and after 6 months. There was non-significant difference between the two groups regarding the recurrence, late postoperative complications and satisfaction. Conclusions: Video-assisted T3 or T4 sympathectomy is a safe and effective procedure for treatment of palmar hyperhidrosis and T3 or T4 sympathectomy had no difference regarding to dryness and Compensatory Hyperhidrosis in follow-up for 6 months. Both techniques were effective for treating palmar hyperhidrosis with high rates of success and no recurrence for 6 months.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 51%

Section: Gossot Et Almentioning

confidence: 91%

Section: Gossot Et Almentioning

confidence: 96%

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