Thoracic sympathicolysis for primary hyperhidrosis

Abstract

The results suggest that endoscopic bilateral thoracic sympathicolysis is an effective method for managing primary hyperhidrosis, especially severe palmar hyperhidrosis, but it is necessary to inform patients fully concerning the undesirable effects.

Extent of sympathectomy affects postoperative compensatory sweating and satisfaction in patients with palmar hyperhidrosis

“…Several authors have suggested that the limited extent of sympathectomy results in a lower incidence or severity of compensatory sweating [1][2][3]5]. Conversely, other authors have reported that limited sympathectomy does not reduce the incidence or severity of compensatory sweating [6][7][8]. However, these studies did not include a group of patient who underwent single-level sympathectomy.…”

“…Endoscopic thoracic sympathectomy (ETS), generally performed at one or two levels ranging between T2 and T4, is an effective treatment approach for palmar hyperhidrosis; however, postoperative compensatory sweating is an occasional bothersome side effect [1][2][3][4][5][6][7]. To the best of our knowledge, few reports describe the correlation between the extent of thoracic sympathectomy and the degree of postoperative compensatory sweating.…”

The first of the university; Uniport experience with sympathectomy

“…Avuç içlerindeki terlemelerde genellikle T 2 -T 4 arası sempatektomi yapılır. [5][6][7] Yazarların çoğu sadece T 2 -T 3 sempatektomi yapılması-nın kompansatuar terlemeyi artırdığı yönünde görüş bildirmişlerdir. [7][8][9] Kimi yazarlar da aynı nedenlerden dolayı sadece T 3 -T 4 sempatektomi yapılmasının yeterli olduğu görüşündedir.…”

“…[5][6][7] Yazarların çoğu sadece T 2 -T 3 sempatektomi yapılması-nın kompansatuar terlemeyi artırdığı yönünde görüş bildirmişlerdir. [7][8][9] Kimi yazarlar da aynı nedenlerden dolayı sadece T 3 -T 4 sempatektomi yapılmasının yeterli olduğu görüşündedir. [10,11] Avuç içi ve koltuk altı terlemesi birlikte olduğunda daha fazla istasyonda, T 2 -T 4 ya da T 3 -T 5 gibi sempatektomi yapmak gerekebilir.…”

Diagnosis and Treatment of Primary Hyperhidrosis

“…Having onset in early childhood or adolescence, according to correspondence research the disease concerns circa 0.6-1% of the Caucasian population (4,5) and is associated with significant reduction of life quality resulting from impairment of daily activities, social interactions and professional activities (6,7). The disease is more common in females than males, with a predominance of females 65: 35 (1,8).…”