Thoracoscopic excision of the sympathetic chain: an easy and effective treatment for hyperhidrosis in children

Shalaby, Mohamed Sameh; El-Shafee, Ehab; Safoury, Hesham S.; Hay, Sameh Abd El

doi:10.1007/s00383-011-2984-3

Cited by 5 publications

(13 citation statements)

References 19 publications

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“…In recent times, minimally invasive approaches have been widely used for the treatment of HH in both children and adults. Various techniques have been described to interrupt the sympathetic chain for treatment of HH, including diathermy [19], chemical ablation [20], ultrasonic coagulation [21], radiofrequency [22], transaction [23] or thoracoscopic excision of the sympathetic chain [1].…”

Section: Sympathectomy Different Techniques and Resultsmentioning

confidence: 99%

“…The current recommended surgical treatment by many authors is TS [1]. Local procedures such as curettage or liposuction have been used in axillary HH by some authors who believe that it can provide long-term relief from the excessive sweating while avoiding the compensatory sweating (CS) that is commonly seen with TS.…”

Section: Surgery Overviewmentioning

confidence: 99%

“…Surgery represents a safe, effective and long-lasting treatment for HH in both children and adults [1]. The current recommended surgical treatment by many authors is TS [1].…”

Section: Surgery Overviewmentioning

confidence: 99%

“…A national survey by Strutton et al [4], in 2004, in the USA showed that one-sixth of responders reported sweating that was either 'barely tolerable and frequently interfered' or was 'intolerable and always interfered' with their daily activities. In children with HH the symptoms can cause significant social and psychological handicap, which may impair school performance and affect their social lives [1].…”

Section: Diagnosismentioning

confidence: 99%

“…It can be very distressing, with significant negative impacts on the patient's social life [1]. In the paediatric population, HH is usually an underrecognized problem [2].…”

Section: Introductionmentioning

confidence: 99%

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Hyperhidrosis in children and review of its current evidence-based management

Shalaby¹,

Hay²

2015

Annals of Pediatric Surgery

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Hyperhidrosis (HH) is excessive sweating that usually interferes with the patient's social life. In more than 80% of the cases, the symptoms start in childhood. Early detection and management can significantly improve the patient's quality of life; however, HH remains widely underdiagnosed and undertreated, particularly among children. Many patients do not realize that they have a treatable condition and reports have shown that only 38% of the patients had discussed their condition with a healthcare professional. The aim of this article was to improve awareness on the significant sequel of HH in children and highlight its effects on their quality of life and various available treatment options.

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Section: Sympathectomy Different Techniques and Resultsmentioning

confidence: 99%

Section: Surgery Overviewmentioning

confidence: 99%

“…Surgery represents a safe, effective and long-lasting treatment for HH in both children and adults [1]. The current recommended surgical treatment by many authors is TS [1].…”

Section: Surgery Overviewmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

“…It can be very distressing, with significant negative impacts on the patient's social life [1]. In the paediatric population, HH is usually an underrecognized problem [2].…”

Section: Introductionmentioning

confidence: 99%

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Hyperhidrosis in children and review of its current evidence-based management

Shalaby¹,

Hay²

2015

Annals of Pediatric Surgery

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Over a decade of single-center experience with thoracoscopic sympathicolysis for primary palmar hyperhidrosis: a case series

Mol¹,

Muensterer

2020

Surg Endosc

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Background Primary palmar hyperhidrosis is a severely debilitating condition that can affect patients of any age. We report our experience with thoracoscopic sympathicolysis in a large cohort of children less than 14 years of age. Methods All children who underwent thoracoscopic sympathicolysis from April 2005 through January 2017 were evaluated retrospectively. The procedure entailed bilateral bipolar fulguration of the second and third thoracic ganglia with transverse disruption of collateral nerve fibers along the third and fourth rib. Demographic information, as well as postoperative outcome, complications, and satisfaction were analyzed. Results Over the 12 year study interval, a total of 102 children underwent thoracoscopic sympathicolysis for palmar hyperhidrosis. Complete follow-up was available for 98 patients (median age 12 [range 5–14] years; 38 boys [39%]). Median follow-up was 4 [range 2–12] years. Complete palmar dryness was achieved in 93 (95%) cases. One patient suffered postoperative unilateral ptosis, 6 reported gustatory sweating, and 65 experienced compensatory sweating. Average postoperative rating on a 1 (lowest) to 10 (highest) rating scale was 9, with 97 (99%) patients saying that they would undergo the procedure again. Conclusion Our technique of thoracoscopic sympathicolysis in children was associated with very high postoperative satisfaction, despite a high rate of compensatory sweating and occasional autonomic gustatory sweating. Other more severe complications in this age group were rare.

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Thoracoscopic bilateral T3 sympathectomy for primary focal hyperhidrosis in children

Laje

Rhodes

Magee

et al. 2017

Journal of Pediatric Surgery

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Thoracoscopic excision of the sympathetic chain: an easy and effective treatment for hyperhidrosis in children

Abstract: Thoracoscopic excision of the sympathetic chain is a simple and safe procedure that relieves hyperhidrosis in all cases and significantly improves the quality of life.

Cited by 5 publications

References 19 publications

Hyperhidrosis in children and review of its current evidence-based management

Hyperhidrosis in children and review of its current evidence-based management

Over a decade of single-center experience with thoracoscopic sympathicolysis for primary palmar hyperhidrosis: a case series

Thoracoscopic bilateral T3 sympathectomy for primary focal hyperhidrosis in children

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