Video-assisted Transthoracic Sympathectomy in the Treatment of Primary Hyperhidrosis: Friend or Foe?

@article{Fredman2000VideoassistedTS,
  title={Video-assisted Transthoracic Sympathectomy in the Treatment of Primary Hyperhidrosis: Friend or Foe?},
  author={Brian Fredman and Edna Zohar and Dov Shachor and Joseph Bendahan and Robert Jedeikin},
  journal={Surgical Laparoscopy, Endoscopy \& Percutaneous Techniques},
  year={2000},
  volume={10},
  pages={226-229}
}
The authors hypothesize that palmar hyperhidrosis is a systemic manifestation of abnormal sudomotor function; consequently, thoracoscopic sympathectomy to alleviate symptoms in the hands may result in heat dissipation because sweating is transferred to other sites. To investigate this phenomenon and to determine whether it adversely affects patient satisfaction, a standard questionnaire was administered to 626 patients who underwent sympathectomy at a university-associated public hospital… Expand
Long-term results of thoracoscopic sympathectomy for hyperhidrosis.
TLDR
This study confirms that thoracoscopic sympathectomy is a suitable method of treatment for severe palmar hyperhidrosis but emphasizes the need to offer the patient more informative information, especially regarding compensatory sweating which seems inescapable. Expand
Surgical treatment of primary palmar hyperhidrosis: a prospective randomized study comparing T3 and T4 sympathicotomy.
  • Yan-guo Liu, Jie Yang, +5 authors J. Wang
  • Medicine
  • European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
  • 2009
TLDR
T4 sympathicotomy, decreases the side effects but do not compromise the therapeutic effects, and should be the method of choice for the treatment of PH. Expand
Gustatory side effects after thoracoscopic sympathectomy.
TLDR
This is the first study to report that gustatory sweating incidence is significantly related to the extent of sympathectomy or the location of primary hyperhidrosis, and patients should be thoroughly informed. Expand
Palmar hyperhidrosis--which is the best level of denervation using video-assisted thoracoscopic sympathectomy: T2 or T3 ganglion?
TLDR
PH is well treated by VTS at either the T2 or T3 levels, andDenervation at the T3 level appears associated with less severe CH in the early postoperative period, and quality of life improved significantly in both groups. Expand
The Effect of Thoracoscopic Sympathicotomy at the Fourth Rib (R4) for the Treatment of Palmar and Axillary Hyperhidrosis
TLDR
R4 sympathicotomy demonstrated superior efficacy in the treatment of compensatory sweating compared to R3 in palmar and/or axillary hyperhidrosis. Expand
Sympathectomy for Palmar Hyperhidrosis
  • C. Tulay
  • Medicine
  • Indian Journal of Surgery
  • 2013
TLDR
Retrospective analysis of 120 bilateral thoracoscopic sympathectomies of palmar hyperhidrosis patients found improvement of symptoms in 95 %, mild compensatory sweating in 20 %, and excessive dryness of hands in 10 % in patients. Expand
T3T4 endoscopic sympathetic blockade versus T3T4 video thoracoscopic sympathectomy in the treatment of axillary hyperhidrosis.
TLDR
Endoscopic sympathetic blockade and VTS of T3T4 ganglion are efficient in axillary hyperhidrosis treatment and no differences regarding therapeutic success, satisfaction rate, and incidence, severity, and location of compensatory sweating are found. Expand
One-year follow-up after thoracoscopic sympathectomy for hyperhidrosis: outcomes and consequences.
TLDR
Patient satisfaction and perceived effectiveness with sympathectomy for palmar or axillary hyperhidrosis remain high even one year after the procedure, and inclusion of the T2 lesion results in significantly more severe compensatory sweating and reduced satisfaction than other levels. Expand
Severity of compensatory sweating after thoracoscopic sympathectomy.
TLDR
This is the first study to demonstrate that severe sweating is significantly more frequent after Th2-4 sympathectomy for axillary hyperhidrosis, and encourages informing patients thoroughly about these side effects before surgery. Expand
Results of endoscopic thoracic sympathectomy (ETS) on hyperhidrosis, facial blushing, angina pectoris, vascular disorders and pain syndromes of the hand and arm
  • C. Drott
  • Medicine
  • Clinical autonomic research : official journal of the Clinical Autonomic Research Society
  • 2003
TLDR
The use of ETS for pain syndromes, vascular insufficiency and angina pectoris is not well supported by scientific evidence, making careful patient selection mandatory. Expand
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TLDR
Endoscopic transthoracic sympathectomy is an effective form of treatment for palmar primary hyperhidrosis, is associated with a low morbidity, and can be performed as an ambulatory procedure. Expand
Thoracoscopic T2-sympathetic block by clipping--a better and reversible operation for treatment of hyperhidrosis palmaris: experience with 326 cases.
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Good results and few complications were noted during follow up six months to one year postoperatively and this new method has fewer complications and has the advantage of recovery of the sympathetic tone in the hands if the procedure is reversed by the removal of the clips. Expand
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The overall satisfaction rate is very good for palmarHyperhidrosis and facial blushing, not equally good but acceptable for facial hyperhidrosis, and the lower satisfaction rate in patients with axillaryhyperhidrosis makes this a questionable indication for ETS. Expand
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The technique makes it possible to widen the indications for operation for people with palmar hyperhidrosis, and all patients but three, who are awaiting reoperation were satisfied with the result. Expand
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Video-endoscopic sympathicotomy for the treatment of palmar, axillary, facial and palmar-plantar hyperhidrosis was modified as to the type of surgical access and the level of incision in theExpand
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TLDR
Intracutaneous botulinum toxin seems preferable to any hitherto used conservative or surgical procedures and may become the therapy of choice in pathological focal hyperhidrosis. Expand
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Twenty-one percutaneous neurolyses of the upper thoracic sympathetic chain were performed in 12 patients with CT guidance by a single injection of 1 to 3 ml of phenol at the level of Th3, and long term results are competitive with surgery. Expand
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Botulinum toxin provides an effective, safe, and long-lasting alternative therapeutic modality for treatment of severe palmar hyperhidrosis and is needed for optimization of the technique. Expand
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TLDR
One year after the reconstruction of the divided sympathetic chains, the patient reported subjective relief of the compensatory oversweating and restoration of sweating in the face and the armpit. Expand
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