An analysis of the natural course of compensatory sweating following thoracoscopic sympathectomy

Currie, Andrew; Evans, Jeff; Thomas, P.

doi:10.1016/j.ijsu.2011.04.006

Cited by 24 publications

(13 citation statements)

References 10 publications

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“…Previous studies have reported that thoracoscopic sympathectomy cures or reduces essential hyperhydrosis with a success rate and satisfaction over 90 % (2, 6, 8, 9). Some articles have reported that the degree of satisfaction after surgery decreases with time and type of hyperhidrosis (palmar, axillary, plantar), while there is controversy about the role of limiting sympathectomy on the degree of satisfaction (6, 10-12).…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic Sympathicotomy vs Sympathectomy in Primary Hyperhidrosis

Mohebbi¹,

Mehrvarz²,

Manoochehry³

2012

Trauma Mon

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BackgroundPrimary hyperhidrosis (P.H.H.) is characterized by excessive sweating in certain parts of body. It’s estimated prevalence is 0%-6.1% in different populations. In Asian population its prevalence is around 3%. In 57% of cases, there is a positive family history.ObjectivesTo evaluate and compare the early and late satisfaction, outcomes and complications of thoracoscopic sympathectomy and sympathicotomy in the treatment of primary hyperhidrosis.Materials and MethodsFrom April 2007 to January 2011, we prospectively treated 60 primary hyperhidrosis patients via thoracoscopic surgery. The first 30 patients underwent sympathectomy and the next 30 patients underwent sympathicotomy. We evaluated early and late satisfactions, outcomes and complications on the first visit (5-8days) following surgery and 12 months after surgery, for all patients.ResultsThe mean operative time was 66.3 minutes in sympathicotomy group and 110.8 minutes in sympathectomy group (P < 0.001). There were no significant differences between the two groups in overall early and late satisfaction, gustatory sweating, pompholyx and post-operative pain. There was comparatively less early and late compensatory sweating (C.S.), and other adverse influences of C.S. in the sympathicotomy group.ConclusionsBecause of shorter operative time, less C.S. and less adverse influence of C.S., sympathicotomy seems a better treatment for primary hyperhidrosis, compared with sympathectomy.

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Section: Discussionmentioning

confidence: 99%

Thoracoscopic Sympathicotomy vs Sympathectomy in Primary Hyperhidrosis

Mohebbi¹,

Mehrvarz²,

Manoochehry³

2012

Trauma Mon

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“…Because all patients presented with great improvement at the sites of primary hyperhidrosis after operation (and maintained this improvement at enrollment; these patients stated that there was no sweating at the primary sites), it is very likely that the poor QOL is attributable to CH. Unfortunately, preliminary data seem to indicate that spontaneous long-term amelioration does not occur [23].…”

Section: Commentmentioning

confidence: 99%

Compensatory Hyperhidrosis: Results of Pharmacologic Treatment With Oxybutynin

Teivelis

Wolosker

Krutman

et al. 2014

The Annals of Thoracic Surgery

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“…Though the theories behind the origin of this phenomenon are still unclear [1], the existence of this side effect of sympathectomy is considered one of the most important limitations of the surgical treatment of primary hyperhidrosis and facial blushing, and it does not seem to diminish with time [2, 3]. The pathogenetic concepts behind the compensatory sweating (CH) have been presented in the Guidelines of Brazilian Thoracic Surgery Society (BTSS) in 2008 [1].…”

Section: Introductionmentioning

confidence: 99%

In the Search for the Treatment of Compensatory Sweating

Stefaniak

Ćwigoń

Łaski

2012

The Scientific World Journal

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Background. Despite success of thoracic sympathectomy (ETS), there are patients that develop postoperatively intensive sweating of the trunk. The aim of the study was to present outcomes of three of those methods: removal of the clips, clipping of T6-9, and regional abdomino-lumbar iontophoresis (RALI). Methods. Out of the group of 229 patients treated with ETS, there were 9 that requested removal of the clips, 3 were treated with T6-9 video thoracoscopic block, and 5 were treated with RALI. The intensity of the side effect has been evaluated subjectively (with overall and localized perception of intensity of sweating) and objectively (with gravimetry). Results. The removal of the clips resulted in slow (about 12 months) diminishing of the intensity of sweating of the trunk; but the symptom did not disappear to the degree satisfactory for the patients. The T6-9 block resulted in partial and transient diminishing of the symptom. The iontophoresis resulted in very promising short-term results. Conclusion. Removal of the clips from the sympathetic trunk does not provide resolution of compensatory sweating in 1 year of observation. T6-9 block does not provide remedy for compensatory hyperhidrosis. Regional abdomino-lumbar iontophoresis seems to be very promising, but further research and followup are mandatory.

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An analysis of the natural course of compensatory sweating following thoracoscopic sympathectomy

Abstract: Thoracoscopic sympathectomy is effective in the treatment of hyperhydrosis. However compensatory sweating seems unavoidable and infrequently improves with time. Patients need to be carefully counselled before committing to surgery.

Cited by 24 publications

References 10 publications

Thoracoscopic Sympathicotomy vs Sympathectomy in Primary Hyperhidrosis

Thoracoscopic Sympathicotomy vs Sympathectomy in Primary Hyperhidrosis

Compensatory Hyperhidrosis: Results of Pharmacologic Treatment With Oxybutynin

In the Search for the Treatment of Compensatory Sweating

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