Minimally invasive dorsal sympathicotomies for the treatment of hyperhidrosis: palmar microcirculatory assessment as an intraoperative-aid

Raposio, Edoardo; Bellini, Elisa; Grieco, Michele Pio

doi:10.1007/s00238-017-1384-x

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Dorsal Thoracic Sympathectomy1

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2020

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“…Thoracoscopic approach: The thoracoscopic approach to dorsal sympathectomy was used as far back as the 1940s. With the advent of advances in optics, lighting, and video endoscopic instrumentation, videoassisted thoracic surgery became the standard approach to dorsal sympathectomy [48,49] . Presently, there are four video-assisted approaches to enable dorsal thoracic sympathectomy.…”

Section: Dorsal Thoracic Sympathectomymentioning

confidence: 99%

Minimally invasive surgical approaches to thoracic sympathectomy for hyperhidrosis

Gharagozloo¹,

Meyer²

2020

Mini-invasive Surg

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Thoracic sympathectomy is used for the palliation of hyperhidrosis. However, significant controversies surround the optimal surgical approach and the extent of sympathectomy. The determinants of success in the surgical palliation of hyperhidrosis are the postoperative rate of anhidrosis, recurrence of symptoms, and rate of compensatory hyperhidrosis. This paper attempts to shed light on the controversies by examining the historic background, clearly defining the anatomic considerations, and outlining the various surgical approaches culminating with robotic selective dorsal thoracic sympathectomy.

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Section: Dorsal Thoracic Sympathectomymentioning

confidence: 99%