Thoracoscopic cervicodorsal sympathectomy: Preliminary results

Ahn, Samuel S.; Machleder, Herbert I.; Concepcion, Blessie; Moore, Wesley S.

doi:10.1016/0741-5214(94)90275-5

Cited by 56 publications

(26 citation statements)

References 26 publications

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“…Four of the patients (20%) developed nondistressing compensatory sweating. It is reported in 25-75% of cases [18]; therefore patients should be informed of its occurrence at consent [20].…”

Section: Discussionmentioning

confidence: 99%

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Thoracoscopic Upper Thoracic Sympathectomy for Upper Limb Hyperhidrosis

et al. 2000

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Objectives: To present a 30-month experience in thoracoscopic upper thoracic sympathectomy (TUTS) in Kuwait in 20 patients with upper limb hyperhidrosis (ULH). Methods: We performed 40 TUTSs in 20 patients with bilateral ULH. The T2–4 or T2–5 sympathetic ganglia were resected in 36 cases. Only the T2–3 ganglia were resected in 4 cases due to difficult localization of the 4th ganglion. Both sides were performed simultaneously. Chest tube drainage was performed at the end of each procedure. Results: The male:female ratio was 9:1, ranging in age from 13 to 43 years (mean age 26.95 years). Two patients had bilateral dense pleural adhesions, but the procedure was successful. Most patients were discharged on the 2nd postoperative day. Follow-up at 5–30 months (mean 16.3 months) was excellent both for immediate and permanent relief of ULH. Eleven of the 15 patients with pedal hyperhidrosis also had dry feet. Two patients developed transient Horner’s eye syndrome. One patient had persistent right pneumothorax that required chest tube drainage for 7 days. Four patients developed compensatory hyperhidrosis of the trunk and upper thighs. Fifteen patients (75%) expressed complete satisfaction. Five patients (25%) reported return of some moisture to their hands and axillae. Conclusion: TUTS is minimally invasive, feasible and effective. It has a low complication rate. We recommend this procedure as the method of choice for the management of ULH.

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“…Four of the patients (20%) developed nondistressing compensatory sweating. It is reported in 25-75% of cases [18]; therefore patients should be informed of its occurrence at consent [20].…”

Section: Discussionmentioning

confidence: 99%

“…However, there are few rare complications which can be disabling or even life-threatening, such as long-lasting neuralgia of the ulnar nerve [18], thoracic duct and subclavian artery injury, and air embolism leading to intraoperative cerebral damage [7].…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic Upper Thoracic Sympathectomy for Upper Limb Hyperhidrosis

et al. 2000

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“…4 Some authers advise taking T2, T3 and T4 as well as the lower one third of the stellate ganglion when denarvating the sympathetic supply to the upper extremety. 5 Others have reported adequate results by removing only the T2 gangilion. 6 In our practice, we cauterized the chain from T2-T4 inclusive to include the palm and axilla but we did not include the stellate ganglion.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic Sympathectomy, Using A Combined Aspiration Coagulation Tube

Oklah

2003

Ann Saudi Med

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“…Aunque la simpatectomía endoscópica torácica se inició en los años 1950, gracias a Kux 39 , debido a dificultades técnicas y alta tasa de recurrencias, no se popularizó hasta la adopción de la tecnología de vídeo a comienzos de los 1990, recibiendo así la denominación de simpatectomía toracoscópica video-asistida 3,6,8,13,17,20,21,48,69 . Posteriormente estas técnicas endoscópicas se han ido refinando, reduciéndose la invasividad con incisiones más cortas y menos puertos de entrada 19,38,42,79,80,81 .…”

Section: Introductionunclassified