Experiences in Thoracoscopic Sympathectomy for Axillary Hyperhidrosis and Osmidrosis

Abstract

Hypothesis: A more selective sympathectomy can improve the outcome of axillary hyperhidrosis and osmidrosis and minimize the potential sequelae.

Thoracoscopic sympathectomy for palmar and axillary hyperhidrosis: four-year outcome and quality of life after bilateral 5-mm dual port approach

“…Schmidt and colleagues found a significantly lower rate of compensatory sweating after resection from T3-T5 compared with resection from T2-T4 [24]. Other authors stated that axillary hyperhidrosis requires resection as far as T4 [35,62,63]. Additional resection from T4-T5 was said to improve the results for armpit hyperhidrosis [36].…”

Endoscopic thoracic sympathectomy for primary palmar hyperidrosis

“…Without a doubt, the most significant complication of sympathectomy is reflex compensatory sweating. In most studies, this has been observed in the majority of patients [22][23][24][25][26][27][28].…”

Axillary Osmidrosis Treatment Using an Aggressive Suction–Curettage Technique: A Clinical Study on Paired Control

“…It has been used as longterm solutions in many other countries. Compared with the suction-curettage technique, the advantage of sympathectomy is fewer sequelae (such as skin necrosis, malodour recurrence, hair loss), but the risk of compensatory sweating and dry hands may be observed [16][17][18].…”