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Updated: Jun 15, 2026

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Targeting Gray Rami Communicantes in Selective Chemical Lumbar Sympathectomy
Published on: January 10, 2019
[Thoracoscopic sympathectomy: a literature review]
1Departamento de Neurología y Neurocirugía, Clínica Universitaria de Navarra, Pamplona.
Summary
Endoscopic thoracic sympathectomy is a safe and effective treatment for hyperhidrosis and other conditions. This minimally invasive procedure offers comparable results to open surgery with reduced recovery time.
Area of Science:
- Minimally invasive surgical techniques
- Thoracic surgery
- Autonomic nervous system disorders
Context:
- Thoracic endoscopic sympathectomy (TES) has largely replaced open procedures for treating hyperhidrosis since its introduction.
- This review critically examines the current applications, outcomes, and potential complications of TES.
Purpose:
- To provide a comprehensive review of endoscopic thoracic sympathectomy.
- To assess its indications, efficacy, and safety profile.
Summary:
- TES is a viable option for focal hyperhidrosis, pain syndromes, and vascular disorders.
- Success rates exceed 95% for hyperhidrosis patients.
- Complication and recurrence rates are similar to open surgery, but with significantly reduced morbidity.
Impact:
- TES offers a less invasive approach with shorter hospital stays and faster return to daily activities.
- It provides comparable therapeutic success to traditional open sympathectomy.
- This technique enhances patient recovery and satisfaction for specific thoracic and sympathetic-related conditions.

