The Effect of Upper Dorsal Thoracoscopic Sympathectomy on the Total Amount of Body Perspiration

@article{Kopelman2000TheEO,
  title={The Effect of Upper Dorsal Thoracoscopic Sympathectomy on the Total Amount of Body Perspiration},
  author={Doron Kopelman and Ahmad Assalia and M Ehrenreich and Yuval Ben-Amnon and H Bahous and Moshe Hashmonai},
  journal={Surgery Today},
  year={2000},
  volume={30},
  pages={1089-1092}
}
Abstract Thoracoscopic T2–T3 sympathectomy is the treatment of choice for primary palmar hyperhidrosis (PPH); however, compensatory hyperhidrosis (CH) is a disturbing sequela of this operation, the mechanism of which is poorly understood. This study was conducted to evaluate the effect of heat stress on total body perspiration after thoracoscopic T2–T3 sympathectomy, and determine its correlation with CH. A total of 17 patients with PPH who underwent bilateral T2–T3 sympathectomy were subjected… Expand
Effect of sympathectomy level on the incidence of compensatory hyperhidrosis after sympathectomy for palmar hyperhidrosis.
TLDR
A significant reduction in incidence can be achieved by dividing the sympathetic chain at a single level (T2) and patients who are older and/or have increased body mass index should be warned of their increased risk of compensatory hyperhidrosis after sympathectomy. Expand
The Correlation Between the Method of Sympathetic Ablation for Palmar Hyperhidrosis and the Occurrence of Compensatory Hyperhidrosis: A Review
TLDR
The compiled results published so far in the literature do not support the claims that lowering the level of sympathetic ablation, using a method of ablation other than resection, or restricting the extend of sympathetic Ablation for primary palmar hyperhidrosis result in less CHH. Expand
Thoracoscopic limited T-3 sympathicotomy for primary hyperhidrosis: prevention for compensatory hyperhidrosis.
TLDR
Thoracoscopic limited T-3 sympathicotomy is an effective method to treat primaryhyperhidrosis, its rate of compensatory hyperhidrosis is low, and the rate of long-term patient satisfaction is high. Expand
Treatment of palmar hyperhidrosis by endoscopic clipping of the upper part of the T4 sympathetic ganglion
TLDR
Although the duration of the follow-up period in this study was relatively short, it could obtain results comparable to other data in the literature and this is a simpler procedure and less damaging to the sympathetic system. Expand
Outpatient microthoracoscopic sympathectomy for palmar hyperhidrosis.
TLDR
Single level (T2) microthoracoscopic sympathectomy for palmar hyperhidrosis has a high success rate with a low incidence of compensatoryhyperhidrosis and should be the preferred treatment for medical refractory palmarHyperhidrosis. Expand
Sympathetic Ablation for Primary Palmar Hyperhidrosis: Could Controversies be solved?
TLDR
With the advent of thoracoscopic surgery, several modifications of the standard T2-T3 ablation were introduced and it was postulated that lowering the level of ablation and reducing its extent would attenuate the amount of compensatory hyperhidrosis. Expand
Attempted reversible sympathetic ganglion block by an implantable neurostimulator.
TLDR
Results of the present study may indicate that different nervous pathways moderate the various components of the Horner's triad, and the creation of a reversible sympathectomy is sought after. Expand
Temporary thoracoscopic sympathetic block for hyperhidrosis.
TLDR
A temporary thoracoscopic sympathetic block followed by sympathectomy may be the best approach for the treatment of medically refractory PH in patients who are concerned about the development of postsympathyctomy CH. Expand
Effects of thoracic sympathetic stimulation on palmar perfusion: a preliminary study in pigs
  • Heng-Chun Liao, Florence T. Su, +5 authors Furen Xiao
  • Medicine
  • General Thoracic and Cardiovascular Surgery
  • 2021
TLDR
This work suggests that sympathetic stimulation is a potential solution for palmar hyperhidrosis, and established a large animal model to verify the effect of thoracic sympathetic stimulation. Expand
Laser Assisted Reduction of Axillary Hyperhidrosis (LARAH) - evaluation of success up to 24 months after the treatment
TLDR
Laser assisted reduction of axillary hyperhidrosis with NdYAG laser is an effective and safe method for the permanent and significant reduction ofAxillary sweating. Expand
...
1
2
...

References

SHOWING 1-10 OF 23 REFERENCES
Upper dorsal thoracoscopic sympathectomy for palmar hyperhidrosis: improved intermediate-term results.
TLDR
The immediate and mid-term results of thoracoscopic upper dorsal (T2-T3) sympathectomy for primary palmar hyperhidrosis were examined, and 88.5% of patients expressed subjective satisfaction from the procedure. Expand
Autonomic activities in hyperhidrosis patients before, during, and after endoscopic laser sympathectomy.
TLDR
The anatomic identification confirmed by the sympathetic monitorings has proved essential to achieve a definite and adequate sympathectomy leading to a satisfactory resolution of PH without the need of a tissue diagnosis. Expand
Limiting the anatomic extent of upper thoracic sympathectomy for primary palmar hyperhidrosis.
TLDR
Axillary sweating is rarely a significant postoperative problem, and extensive sympathectomy to include axillary denervation is unnecessary and should be avoided to minimize compensatory hyperhidrosis. Expand
Complications in patients with palmar hyperhidrosis treated with transthoracic endoscopic sympathectomy.
TLDR
Transthoracic endoscopic sympathectomy is an effective and simple modality to treat palmar hyperhidrosis, however, all patients need to be warned of the common complications, particularly compensatory hyperhydrosis, before surgery. Expand
Complications in Patients with Palmar Hyperhidrosis Treated with Transthoracic Endoscopic Sympathectomy
TLDR
Transthoracic endoscopic sympathectomy is an effective and simple modality to treat palmar hyperhidrosis, however, all patients need to be warned of the common complications, particularly compensatory hyperhid disorder, before surgery. Expand
Palmar hyperhidrosis and its surgical treatment: a report of 100 cases.
TLDR
For severe cases of palmar HH that cause social, professional and emotional embarassment, bilateral simultaneous UDS by the supraclavicular approach is the procedure of choice: Morbidity is small, and almost all patients enjoy improved quality of life after the operation. Expand
Thermoregulatory sweating in palmar hyperhidrosis before and after upper thoracic sympathectomy.
TLDR
The data demonstrate that the surgical removal of both the T2 and the T-3 ganglia, although producing no alterations in the thermal balance, does produce abnormalities in quantitative distribution of thermoregulatory sweating in man. Expand
Endoscopic procedures of the upper-thoracic sympathetic chain.
  • M. Kao
  • Medicine
  • Archives of surgery
  • 1995
TLDR
I was pleased to have read the review article "Endoscopic Procedures of the Upper-Thoracic Sympathetic Chain" in the February 1993 issue of theArchives, and developed "video" endoscopic sympathectomy for palmar hyperhidrosis, which soon became popular and has replaced almost all traditional open sympatheCTomy. Expand
PALMAR HYPERHIDROSIS
TLDR
Fourteen men and 22 women, with an average age of 23 years (range 14–36 years), were operated on for hyperhidrosis of the upper extremity during the period from 1955 to 1970, and four reported marked dysaesthesia over the front of the chest and in the axilla, lasting for several years. Expand
Compensatory Hyperhidrosis after Sympathectomy
TLDR
Although this thermoregulatory system eludes gross resection, it is still possible to remove varying amounts and this can be achieved by sympathectomy, which effectively eliminates all sweat-gland activity in the areas affected. Expand
...
1
2
3
...