Sympathetic block by metal clips may be a reversible operation

Thomsen, Line Elnif; Mikkelsen, Rasmus T; Derejko, Miroslawa; Licht, Peter B.

doi:10.1093/icvts/ivu311

Cited by 13 publications

(10 citation statements)

References 12 publications

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“…Moreover, the upper limit of unclipping time should be defined, because Thomsen et al reported severe histologic nerve damage visible 4 weeks after unclipping of the sympathetic chain in sheep, in which the damage decreased markedly 12 weeks after unclipping. Clips were removed 7 days after they were applied [45][46][47][48]. Studies on animals with unclipping times ranging from a few months to over 1 year after clipping are also necessary to evaluate nerve histology and the reversibility of their function after this period.…”

Section: Discussionmentioning

confidence: 99%

Up-to-date Treatments of Primary Hyperhidrosis with Focus on Sympathectomy and Sympathicotomy; A Narrative Review

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Up-to-date Treatments of Primary Hyperhidrosis with Focus on Sympathectomy and Sympathicotomy; A Narrative Review

et al. 2016

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“…However, after 12 weeks, these signs of damage had clearly decreased, which suggests in theory that application of metal clips to the sympathetic chain is a reversible procedure if only the observation period is prolonged. Further studies in humans with longer periods between application and removal as well as investigations of nerve conduction should be encouraged because we do not know whether histological reversibility at cellular level translates into physiological reversibility and possible correlation of nerve trauma with the duration of the applied clip (53).…”

Section: Reversibilitymentioning

confidence: 99%

Upper extremity sympathectomy

Campos¹,

Kauffman²,

Faustino³

et al. 2018

J. Vis. Surg.

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Hyperhidrosis is a condition in which there is excessive production of sweat that is disproportional to thermoregulation needs and that profoundly hampers the quality of life (QOL) of the population that is affected by it. The disorder is typically limited to the palms, the plantar and craniofacial regions, armpits, and manifests itself in a symmetrical fashion in addition to being associated to family history. At present, sympathectomy is considered the golden standard treatment and there are a number of approaches a surgeon may elect to adopt in its care. The clinical treatment with oxybutynin also improves screening of the group of patients that will benefit the most with this indication. However, the efficacy of the surgical method, what most counts for a successful outcome is the occurrence or not of compensatory hyperhidrosis whose intensity may impact the results. All patients are and must be thoroughly informed of this possibility prior to surgery. For the others indications, is also one of the final approaches necessary for a fruitful treatment.

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“…Uncertainty exists about the most useful technique regarding the analgesic satisfaction of the patient on the postoperative period [9]. Surgery depends on the isolation and the dissection of the thoracic sympathetic chain with cauterization and ablation or clipping, the corresponding roots which are responsible for the excessive sweating in certain body areas [10].…”

Section: Introductionmentioning

confidence: 99%

The Effect of T3 versus T4 Thoracoscopic Sympathectomy on Hyperhidrosis

Mesery

Ghoneim

Taha

et al. 2021

JAMMR

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Background: Primary hyperhidrosis is a disorder characterized by excessive sweating. However, surgical therapy is the most effective treatment for patients with primary hyperhidrosis. In between all different surgical approaches, video assisted thoracoscopic surgery (VATS) sympathectomy has been considered as a safe and minimally invasive procedure for palmer and axillary hyperhidrosis. The aim of this study was to evaluate the effectiveness of T3 vs. T4 sympathectomy regarding postoperative complications, recurrence and compensatory hyperhidrosis (CH) on 6 months follow up. Methods: This prospective randomized study was conducted over 20 patients undergoing VATS sympathectomy diagnosed with palmar hyperhidrosis and failed medical treatment and undergoing thoracoscopic sympathectomy. Patients were divided randomly into two groups; group A (T3 sympathectomy) and group B (T4 sympathectomy). Results: There was no significant difference between the two groups regarding the degree of treatment success, compensatory hyperhidrosis after one month and after 6 months. There was non-significant difference between the two groups regarding the recurrence, late postoperative complications and satisfaction. Conclusions: Video-assisted T3 or T4 sympathectomy is a safe and effective procedure for treatment of palmar hyperhidrosis and T3 or T4 sympathectomy had no difference regarding to dryness and Compensatory Hyperhidrosis in follow-up for 6 months. Both techniques were effective for treating palmar hyperhidrosis with high rates of success and no recurrence for 6 months.

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Sympathetic block by metal clips may be a reversible operation

Cited by 13 publications

References 12 publications

Up-to-date Treatments of Primary Hyperhidrosis with Focus on Sympathectomy and Sympathicotomy; A Narrative Review

Up-to-date Treatments of Primary Hyperhidrosis with Focus on Sympathectomy and Sympathicotomy; A Narrative Review

Upper extremity sympathectomy

The Effect of T3 versus T4 Thoracoscopic Sympathectomy on Hyperhidrosis

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