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Sympathectomy for hyperhydrosis

Joseph J Zechlinski, Robert A Hieb
Lumbar sympathectomy was historically a mainstay of treatment for arterial occlusive disease and other vasospastic disorders, before the development of contemporary arterial reconstructive procedures either by surgical or endovascular means. Today, percutaneous methods of sympathetic blockade are possible using chemical neurolytic or ablative modalities. Lumbar sympathetic neurolysis is generally reserved for those patients with ischemic rest pain in the setting of nonreconstructable arterial occlusive disease, although patients with complex regional pain syndrome, peripheral neuralgia, vasospastic disorders, and various other disease states such as plantar hyperhydrosis may also benefit...
June 2016: Techniques in Vascular and Interventional Radiology
Murat Oncel, Güven Sadi Sunam, Esref Erdem, Yüksel Dereli, Bekir Tezcan, Kazim Gürol Akyol
OBJECTIVE: The goal of this retrospective study was to evaluate the outcomes of bilateral video-assisted thoracoscopic sympathectomy for primary hyperhydrosis. METHODS: Between January 2007 and December 2011, a total of 335 patients (192 male, 143 female, mean age 28.3 years) who underwent bilateral thoracoscopic sympathectomy for primary hyperhydrosis were reviewed retrospectively. RESULTS: Hyperhydrosis occurred in the palmar and axillary region in 175 (52...
May 2013: Cardiovascular Journal of Africa
L Guilloton, G Demarquay, L Quesnel, F De Charry, A Drouet, F Zagnoli
INTRODUCTION: Harlequin phenomenon is characterized by a strictly unilateral erythrosis of the face with flushing and hyperhydrosis, and controlaterally a pale anhydrotic aspect. This syndrome can occur alone or associated to other dysautonomic phenomena such as Horner syndrome, Adie syndrome or Ross syndrome. PATIENTS AND METHODS: We report three cases: two patients presented a Harlequin sign, associated with Horner syndrome for one and Ross syndrome for the second...
November 2013: Revue Neurologique
Akos Kocsis, László Agócs, Szilárd Kostic, Bernadett Lévay, Klára Török, Ferenc Rényi-Vámos
INTRODUCTION: The procedure of the ETS is carried out by two ports, a videothoracoscop and a diathermy instrument are introduced into the pleural cavity. After the identification of the sympathetic chain, the relevant ganglia are divided or excised. MATERIALS AND METHODS: 22 patient underwent bilateral video assisted thoracoscopic T2-T4 sympathectomy in a half-way sitting position for palmar and axillary hyperhydrosis between December 2008 and January 2011. RESULTS: 5 male and 17 female patients with a mean age of 39...
October 2012: Magyar Sebészet
H Coveliers, S Atif, J Rauwerda, W Wisselink
BACKGROUND: Endoscopic thoracic sympthectomy (ETS) is frequently used in the management of patients with hyperhidrosis and excessive blushing. Long term-follow up is scarce. We retrospectively reviewed long-term morbidity, success and overall patient satisfaction rates in patients operated in our department. METHOD: Data of all patients undergoing ETS for either upper limb hyperhidrosis or facial blushing and sweating between January 1994 and December 2006 were reviewed...
September 2011: Acta Chirurgica Belgica
R Gorur, N Yiyit, A Yildizhan, F Candas, H Turut, H Sen, T Isitmangil
OBJECTIVE: Our aim was to establish a standardized approach for patients with palmoplantar and axillary hyperhidrosis and to compare patient satisfaction and complication rates for two different operations. MATERIALS AND METHODS: Between 2008 and 2010, 30 patients underwent conventional T3/4 clipping (group A), and 30 underwent only T3 and T6 clipping (group B). Both groups were compared with regard to compensatory sweating (CS), complications, patient satisfaction and recovery of plantar hyperhidrosis...
September 2011: Thoracic and Cardiovascular Surgeon
Mark J Krasna
With the advent of videotechnology, sympathectomy has assumed a more important role in the armamentarium of managing diseases of the autonomic system. Currently it is used primarily for hyperhydrosis, although sympathectomy for reflex sympathetic dystrophy (RSD), Raynaud disease and other diseases still are performed, but less frequently. Most of this article will refer primarily to hyperhydrosis patients.
May 2010: Thoracic Surgery Clinics
M A Callejas, R Grimalt, E Cladellas
Nearly 3% of the population has hyperhidrosis. Quality of life is affected, impacting on social relationships and professional activity, and social anxiety disorder can sometime develop. We review the definition and causes of hyperhidrosis and the clinical evaluation of patients. After describing the different clinical aspects of the condition, we discuss the medical and surgical treatments. Of such treatments currently available, particular mention is made of the use of botulinum toxin in some forms of hyperhidrosis as an intermediate option between the traditional treatments and surgery...
March 2010: Actas Dermo-sifiliográficas
László Herke, Károly Vincze, Ida Matkó
Thoracoscopic sympathectomy (VATS) is routinely used to treat severe palmar and axillary hyperhydrosis. The authors present a novel method: one-stage bilateral VATS-sympathectomy. Special considerations also discussed regarding the anaesthesia and operative technique of the procedure. The history of surgical therapy of hyperhidrosis is reviewed briefly, too. The authors conclude that one-stage bilateral VATS-sympathectomy for palmar and axillary severe hyperhidrosis is a safe and effective method, patient satisfaction improves and cost is significantly decreased due to shorter hospital stay...
February 2010: Magyar Sebészet
Priscila Oliveira Cardoso, Kelly C Lacerda Rodrigues, Karla Matos Mendes, Andy Petroianu, Marcelo Resende, Luiz Ronaldo Alberti
OBJECTIVES: The purpose of this study was to assess the quality of life and the presence of compensatory hyperhidrosis of patients submitted to sympathectomy as a treatment of hyperhidrosis. METHODS: Fifty consecutive patients submitted to surgical treatment for hand hyperhidrosis at the Santa Casa Hospital of Belo Horizonte were included in this investigation, according to their age, gender and skin color. These patients were studied according to the indication of surgical treatment, previous clinical therapeutics, their complaints related to hyperhydrosis, incidence of compensatory hyperhidrosis and its relation with personality and local of hyperhidrosis...
February 2009: Revista do Colégio Brasileiro de Cirurgiões
Monia Di Lara Dias, Artur Antônio Burlamaque, Airton Bagatini, Fábio Amaral Ribas, Cláudio Roberto Gomes
BACKGROUND AND OBJECTIVES: Primary hyperhydrosis is a disorder characterized by excessive diffuse or localized sweating. There are several noninvasive therapeutic methods which in general do not solve the problem generating even more anxiety, and time and money wasting for hyperhydrosis patients. Partial thoracic sympathetic chain resection is indicated for palmar hyperhydrosis and may be performed by thoracoscopic surgery with good results and few complications. This review aimed at discussing possible anesthetic techniques for this procedure, as well as possible complications and their management...
June 2005: Revista Brasileira de Anestesiologia
M J Latif, J N Afthinos, C P Connery, N Perin, F Y Bhora, M Chwajol, G J Todd, S J Belsley
BACKGROUND: A subset of patients who undergo video-assisted thoracoscopic sympathectomy for hyperhydrosis develop post-procedure compensatory sweating that is perceived as more debilitating than their initial complaints. We propose a novel treatment to reverse sympathectomy by implantation of an intercostal nerve graft using the da Vinci robot. METHODS: A robotic swine model was established using single-lung ventilation and four ports. The pleura was incised and a representative segment of sympathetic chain was transected...
September 2008: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
Jennifer Francesca Sciuchetti, Fabrizio Corti, Dario Ballabio, Marcello Costa Angeli
BACKGROUND: Video-endoscopic sympathectomy is the current treatment of choice for severe primary hyperhidrosis. Because of the possible postsurgical side effects, the procedure is carried out using removable endoclips that block sympathetic nerve transmission. This study describes the short and "midterm" side effects and complications of this method for the treatment of palmar, axillary, and facial hyperhidrosis. MATERIALS AND METHODS: Two hundred and ninety-four sympathectomies were carried out between September 2003 and June 2006 and followed-up after 17 months...
April 2008: Clinical Autonomic Research: Official Journal of the Clinical Autonomic Research Society
Nelson Wolosker, Guilherme Yazbek, Augusto Ishy, José Ribas M de Campos, Paulo Kauffman, Pedro Puech-Leão
PURPOSE: We compared the results from a video-assisted thoracoscopic sympathectomy (VTS) at the T4 denervation level with those from a VTS at the T3 level for the treatment of palmar hyperhydrosis (PH). METHODS: Seventy patients with PH were prospectively followed for VTS at the T3 or T4 denervation levels for 6 months. The end points of this study were: absence of PH, compensatory hyperhydrosis (CH), and quality-of-life assessment. RESULTS: Sixty-seven patients reported a complete resolution of PH after surgery...
February 2008: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Marie-Klaire Farrugia, Eric A Nicholls
Axillary hyperhydrosis in children and teenagers may be severe enough to affect social development. Current treatments range from aluminum chloride compounds to surgical removal of sweat glands and sympathectomy. Intradermal injection of botulinum A toxin has recently been found to be a safe and effective alternative in the adult population. Use in children has so far not been documented. We hereby report a case illustrating the use of botulinum A toxin in a 14-year-old girl with disabling axillary hyperhydrosis...
October 2005: Journal of Pediatric Surgery
A Adair, M L George, R Camprodon, J A Broadfield, J A Rennie
INTRODUCTION: Bilateral endoscopic thoracic sympathectomy (BETS) has been shown to be an effective, permanent, and safe treatment for severe upper limb hyperhydrosis. More recently, the possibility of using BETS to treat facial blushing, a redness of the face bought on by emotional or social stress, has been raised. This followed incidental reports from patients of relief from their blushing following this procedure for hyperhydrosis. At King's College Hospital, 120 patients underwent BETS over a 3-year period for both upper limb hyperhydrosis and facial blushing...
September 2005: Annals of the Royal College of Surgeons of England
Gideon Karplus, Oleg Kleiner, Nitza Newman, Robert Finaly, Jacob Mordehai, Eliezar Avinoah, Zahavi Cohen
BACKGROUND/PURPOSE: Minimally invasive surgery plays an important role in the daily practice of pediatric surgeons. However, there have been few reports of large series of patients. The aim of this paper is to report our experience over the past 12 years with a broad range of pediatric laparoscopic procedures. METHODS: We performed a retrospective analysis of 1084 minimally invasive procedures conducted in the department of pediatric surgery from June 1992 to March 2004...
August 2005: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
H Horma Babana, A Lucas, F Marin, R Duvauferrier, Y Rolland
PURPOSE AND METHOD: Palmar hyperhidrosis is a pathological condition characterized by overperspiration caused by any stress or emotion. We have evaluated the results of 101 CT guided sympatholysis procedures performed on 50 patients suffering from primary palmar hyperhydrosis. RESULTS: Mean follow up was 50 Months (6 Months to 8 Years) for 87 procedures with immediate good results in 46 patients. Using actuarial analysis, 62% of patients had persistent good results after 50 Months...
January 2004: Journal de Radiologie
B H Gooi, S Manjit, N Premnath
BACKGROUND: Primary palmar hyperhidrosis is a functionally and socially disabling condition. The choice of treatment is controversial. OBJECTIVE: To examine the clinical presentation of primary palmar hyperhidrosis and the results of treatment with thoracoscopic sympathectomy in a local setting. MATERIALS AND METHODS: A retrospective study of 7 patients involving 10 sympathectomies between October 1997 and October 2000 was undertaken. RESULTS: The duration of anaesthesia ranged from 55 to 130 minutes with the majority being 1 hour...
March 2002: Medical Journal of Malaysia
No abstract text is available yet for this article.
February 1, 1963: Ugeskrift for Laeger
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