T3/T4 thoracic sympathictomy and compensatory sweating in treatment of palmar hyperhidrosis

Yang, Jie; Tan, Jia-ju; Ye, Guolin; Gu, Wei-Quan; Wang, Jun; Liu, Yanguo

doi:10.1097/00029330-200709020-00003

Cited by 41 publications

(23 citation statements)

References 12 publications

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“…Therefore, contradictions arise concerning the surgical procedures: excessive and aggressive sympathectomy may lead to CH, whereas insufficient sympathetic blockade can probably be inefficacious. The best level of sympathectomy for treating PH and avoiding severe CH is still inconclusive [5,[8][9][10][11]. (2) Techniques for VTS include chain resection, transaction, cauterization, and clipping [12][13][14].…”

mentioning

confidence: 99%

Optimization of sympathectomy to treat palmar hyperhidrosis: the systematic review and meta-analysis of studies published during the past decade

et al. 2010

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mentioning

confidence: 99%

Optimization of sympathectomy to treat palmar hyperhidrosis: the systematic review and meta-analysis of studies published during the past decade

et al. 2010

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“…LC successfully relieves HH and, by virtue of the suctioning mechanism, may be superior to curettage alone for lasting results 14,49,52. Sympathotomy and sympathectomy are the most invasive procedures for HH, but for those patients whose daily lives are disrupted by HH, despite trials of other therapeutic options, sympathetic chain disruption may present an appealing opportunity for treatment 19,57,63,70–73. Certainly, the risk of CH should be discussed thoroughly with patients considering this intervention 58,62,63.…”

Section: Resultsmentioning

confidence: 99%

“…In their assessment of T3 versus T4 sympathicotomy for palmar HH in 163 patients, Yang et al70 found a significantly lower rate of moderate CH in the T4 group. (No significant difference between the two groups was observed in rates of mild HH).…”

Section: Surgerymentioning

confidence: 99%

Management of hyperhidrosis

Stashak¹,

Brewer

2014

CCID

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Primary hyperhidrosis (HH), a condition of sweating in excess of thermoregulatory requirements, affects nearly 3% of the US population and carries significant emotional and psychosocial implications. Unlike secondary HH, primary HH is not associated with an identifiable underlying pathology. Our limited understanding of the precise pathophysiologic mechanism for HH makes its treatment particularly frustrating. However, a wide array of interventions for the treatment of HH have been implemented throughout the world. Herein, we discuss the most extensively studied therapeutic options for primary HH, including systemic oxybutynin, botulinum toxin injections, skin excision, liposuction–curettage, and sympathotomy/sympathectomy. We conclude with a discussion of possible future therapies for HH, including the applications of laser, microwave, and ultrasound technologies.

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“…42 The procedure can be performed using only a single axillary port through a muscle splitting entry into the chest. The visualization is good and all instruments can be passed through the video mediastinoscope so that only 1 incision is needed.…”

Section: Sympathectomy For Hyperhidrosismentioning

confidence: 99%

Diagnostic and Therapeutic Applications of Video-Assisted Mediastinoscopy

Tcherveniakov¹,

Svennevik²,

Milton³

et al. 2010

Clinical Pulmonary Medicine

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Since the 1950s, cervical mediastinoscopy has been a well-established technique for exploration of the anterior and superior mediastinum along with local lymph node biopsy. Despite current developments in mediastinal lymph node assessment such as fluorodeoxyglucose positron emission tomography integrated with computed tomography and endobronchial ultrasound with transbronchial-needle aspiration, mediastinoscopy remains the "gold standard" procedure for nodal staging of lung cancer. In recent years, the conventional mediastinoscope has been equipped with high definition optics offering a magnified and detailed image of the operating field with obvious advantages for the operator. Hence, the procedure has been renamed video-assisted mediastinoscopy. The new features enable a shared operative experience, facilitate teaching to junior surgeons, improve safety and accuracy of mediastinal exploration, and encourage exploration into further applications of the mediastinoscope.

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T3/T4 thoracic sympathictomy and compensatory sweating in treatment of palmar hyperhidrosis

Cited by 41 publications

References 12 publications

Optimization of sympathectomy to treat palmar hyperhidrosis: the systematic review and meta-analysis of studies published during the past decade

Optimization of sympathectomy to treat palmar hyperhidrosis: the systematic review and meta-analysis of studies published during the past decade

Management of hyperhidrosis

Diagnostic and Therapeutic Applications of Video-Assisted Mediastinoscopy

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