Treatment of palmar and axillary hyperhidrosis

Rieger, R.; Pedevilla, S.; Pöchlauer, S.

doi:10.1007/s00104-008-1560-4

Cited by 6 publications

(4 citation statements)

References 40 publications

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“…Excessive sweat secretion of the hands can be permanently eliminated with ETS in 90% to 100% of patients with palmoplantar hyperhidrosis [6, 12, 13]. Even though blocking the upper sympathetic trunk may also lead to a reduction of sweat secretion on the feet in as many as 42% of patients, most patients with severe plantar hyperhidrosis cannot experience sufficient improvement with ETS [6, 14, 15].…”

Section: Discussionmentioning

confidence: 99%

“…If conservative measures fail, endoscopic thoracic sympathectomy (ETS) (a procedure that has been clinically established for many years) is available for treatment of palmar hyperhidrosis [3][4][5]. Although excessive sweating of the hands can be eliminated with this procedure in 90% to 100% of patients, plantar hyperhidrosis remains unchanged after ETS in up to 60-70% of patients and is even increased in some cases [3,6,7]. In these cases, endoscopic lumbar sympathectomy (ELS) constitutes a potentially effective procedure for eliminating excessive sweating of the feet [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Lumbar Sympathectomy Following Thoracic Sympathectomy in Patients with Palmoplantar Hyperhidrosis

Rieger

Loureiro²,

Pedevilla

et al. 2010

World j. surg.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endoscopic Lumbar Sympathectomy Following Thoracic Sympathectomy in Patients with Palmoplantar Hyperhidrosis

Rieger

Loureiro²,

Pedevilla

et al. 2010

World j. surg.

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“…A total of 214 subjects from three studies (Korkmaz et al, 2019;Ribet et al, 1996;Song et al, 2020) were diagnosed with congenital cardiopulmonary defects, including patients with Turner's syndrome, congenital heart disease with anomalous tracheobronchial arborization, and bronchogenic cysts. A total of 6281 subjects from five studies (de Andrade Filho et al, 2013;Kauffman et al, 2010;Reisfeld, 2005;Rieger et al, 2008;Uematsu, 1951) were clinically diagnosed and operatively treated for hyperhidrosis. In one study (Danish et al, 1963), the included subjects were 240 patients with congenital hearing defects.…”

Section: Demographical Distributions Of the Subjects And Diagnostic Methodsmentioning

confidence: 99%

The prevalence of the azygos lobe: A meta‐analysis of 1,033,083 subjects

et al. 2021

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The azygos lobe (AL) is an accessory lobe of the right lung with prevalence between 0.4 and 1.2%. The aim of the present review is to provide a better estimate of the frequency of the AL and to examine its relationships with other variables such as population, diagnostic methods, and co-occurring illnesses. Studies published between 1899 and October 2020 were searched through three electronic databases; Google Scholar, PubMed, and JSTOR. Titles, abstracts, and full texts of the retrieved entries were screened to determine their appropriateness for inclusion. A total of 88 studies relating to 1,033,083 subjects met the inclusion criteria. A random-effects meta-analysis yielded an overall prevalence of 0.30% (95% CI: 0.0024-0.0035, I 2 = 97.9%). Linear regression and subgroup analysis revealed a negative correlation (ρ = À0.540, p <0.001) between AL prevalence and sample size; studies with smaller sample sizes had higher prevalences. The AL prevalence in individuals with congenital pulmonary defects, 5.2% (95% CI: 0.0018-0.0086, I 2 = 0%), was 17 times higher than the overall prevalence (z = 6.65, p <0.001), suggesting associations with other abnormalities and possibly a genetic predisposition. In addition to an evidence-based synthesis of AL prevalence, this study demonstrates publication bias and small-study effects in the anatomy literature. Awareness of the AL is crucial for radiologists when they interpret unusual radiological findings and for surgeons when they operate in the region.

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“…Rieger et al ,[17] advised cutting the sympathetic chain for excellent results from T2 to T4-5 is safe and effective and leads in almost 100% of cases to the elimination of palmar and axillary hyperhidrosis.…”

Section: Discussionmentioning

confidence: 99%

One stage bilateral endoscopic sympathectomy under local anesthesia: Is a valid, and safe procedure for treatment of palmer hyperhidrosis?

et al. 2010

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OBJECTIVE:Thoracoscopic sympathetic surgery is currently the best treatment for hyperhidrosis, and the success rate is quite high, but poor emphasis has been given to the type of anaesthesia and its application through either one or two stages of surgery. This study has evaluated the operative and postoperative results of one-stage bilateral thoracoscopic sympathectomy under local anaesthesia.MATERIALS AND METHODS:From 2003 to 2007, n=14 patients with hyperhidrosis of the upper limbs [4 females and 10 males] with a mean age of 28±2.11 year [range 26-44] were included. They were operated on by means of bilateral ETS under local anaesthesia. The mean follow-up was 1.5 years (range 13-24 months).RESULTS:No operative mortality was recorded. The mean operating room time for the whole bilateral procedure under was 73. 5±14.5 range [60 -120] min most of the patients were discharged the same day after a chest roentgenogram except, only two patients with gustatory sweating one recurrent sweating in the patient who had previously axillary hyperhidrosis. Also among them two patients (20%) experienced a minimal pneumothorax that required no treatment. Postoperative quality of life and satisfaction were excellent and cost was significantly reduced.CONCLUSIONS:Bilateral thoracoscopic sympathectomy for palmar hyperhidrosis could be safely and effectively performed in patients refusing GA regarding cost and satisfaction.

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Treatment of palmar and axillary hyperhidrosis

Cited by 6 publications

References 40 publications

Endoscopic Lumbar Sympathectomy Following Thoracic Sympathectomy in Patients with Palmoplantar Hyperhidrosis

Endoscopic Lumbar Sympathectomy Following Thoracic Sympathectomy in Patients with Palmoplantar Hyperhidrosis

The prevalence of the azygos lobe: A meta‐analysis of 1,033,083 subjects

One stage bilateral endoscopic sympathectomy under local anesthesia: Is a valid, and safe procedure for treatment of palmer hyperhidrosis?

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