Review of general surgery 1979

Ellis, Harold

doi:10.1136/pgmj.56.655.305

Cited by 2 publications

(1 citation statement)

References 67 publications

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“…Not only do general practitioners and dermatologists hesitate to refer these patients for surgery, but even among our fellow surgeons we find different opinions. Harold Ellis, for instance, continues to recommend the symptomatic topical application, every several days, of aluminum chloride hexahydrate for axillary hyperhidrosis [1,2].…”

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confidence: 99%

Transaxillary thoracic sympathectomy for primary hyperhidrosis of the upper limbs

et al. 1982

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Although a benign condition, primary hyperhidrosis of the upper limbs (palmar and axillary) may cause considerable psychological, social, and occupational disturbances. Definitive surgical treatment (i.e., upper dorsal sympathectomy) is justified after failure of conservative measures. Of the various surgical approaches to the upper thoracic sympathetic chain, one must select the approach that combines excellent results (cosmetic outcome included) with only minor and infrequent complications and side effects. Our experience with 70 thoracic sympathectomies (initially performed through a wide thoracotomy, currently by the transaxillary approach) followed up for an average of 25 months (range 1–87 months), corresponds with these strict criteria: 94% completely dry hands; 86% total, and an additional 10% partial, subjective satisfaction with the results; minimal and relatively mild side effects and complications. These results compare favorably with reports in the literature regarding thoracic sympathectomies performed through alternative approaches, indicating that the transaxillary approach is at least as good as the other approaches. At the same time, side effects and complications are less frequent and of a milder character with the transaxillary approach. We, therefore, recommend the axillary approach for thoracic sympathectomy in cases of hyperhidrosis of the upper limbs.

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confidence: 99%