The borås experience of endoscopic thoracic sympathicotomy for palmar, axillary, facial hyperhidrosis and facial blushing

Rex, Lars; Drott, Christer; G, Claes; Göthberg, G; Dalman, P.

doi:10.1080/11024159850191094

Cited by 92 publications

(33 citation statements)

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“…Some investigators report cases of hemothorax without details! Rex et al [4] reported four cases (0.3%), Schmidt et al [46], one case (0.5%). Lin et al [47] reported on two cases (0.1%) of hemothorax, with one requiring chest tube drainage.Doolabh et al [48] reported on three patients (1.6%) who developed bleeding complications, with one patient requiring thoracoscopic re-exploration and the other patients requiring chest tube drainage.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…Several thoracoscopic methods have since been described, with different access sites and different operative approaches (resection of the chains or simple chain division over the ribs [4] or selective sympathectomy [5]). …”

Section: Introductionmentioning

confidence: 99%

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

Baram¹,

Bermani²

2014

WJCS

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“…ETS will greatly reduce axillary sweating but the effect is clearly inferior to that on the hands despite rather extensive denervation (T2-T4 or T5). Many patients find that ETS will move the hyperhidrosis from the armpits to the trunk (CS) causing overall satisfaction to be as low as around 60 % [12,24,50]. I therefore discourage patients with isolated axillary hyperhidrosis from ETS, especially because there are other viable treatment options.…”

Section: Hyperhidrosis S Palmar Hyperhidrosismentioning

confidence: 96%

“…In long-term followup, the satisfaction rate is reduced mainly due to remaining side effects [24]. The procedure is regretted by 3.5-11 % of patients [19,37,50].…”

Section: Hyperhidrosis S Palmar Hyperhidrosismentioning

confidence: 98%

Results of endoscopic thoracic sympathectomy (ETS) on hyperhidrosis, facial blushing, angina pectoris, vascular disorders and pain syndromes of the hand and arm

Drott

2003

Clinical Autonomic Research

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Endoscopic thoracic sympathectomy (ETS) has gained increasing popularity due to its minimally invasive character. Despite the simplicity of the procedure, non-surgical options should always be considered as the first line of treatment. The complication risk of ETS is low but side effects, primarily compensatory sweating (CS) of mainly the trunk, may be severe enough to cause regret of the procedure. The risk/benefit ratio should always be discussed with the patient. Severe palmar hyperhidrosis and facial blushing respond very well to ETS with a high patient satisfaction rate. Facial hyperhidrosis is effectively treated with ETS, but is associated with a high risk for severe CS. Axillary hyperhidrosis is best treated by means other than ETS. The use of ETS for pain syndromes, vascular insufficiency and angina pectoris is not well supported by scientific evidence, making careful patient selection mandatory.

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“…Habitualmente aparece con el calor o el ejercicio sobre tórax, abdomen y muslos. En general, es bien tolerada y dismi-nuye en los siguientes meses 2,18,32,40,48,49,50,51,66 .…”

Section: Hiperhidrosis Compensatoriaunclassified

Simpatectomía toracoscópica: una revisión de la literatura

Bejarano¹,

Manrique²

2010

Neurocirugía

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The borås experience of endoscopic thoracic sympathicotomy for palmar, axillary, facial hyperhidrosis and facial blushing

Abstract: The accuracy with which pheochromocytomas and paragangliomas can be visualized questions nowadays the routine use of abdominal approach. In selected cases of sporadic unilateral chromaffin tumours, a posterior, lateral, or even laparoscopic approach should be considered.

Cited by 92 publications

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

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

Results of endoscopic thoracic sympathectomy (ETS) on hyperhidrosis, facial blushing, angina pectoris, vascular disorders and pain syndromes of the hand and arm

Simpatectomía toracoscópica: una revisión de la literatura

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