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Video-Assisted Thoracic Sympathectomy for Hyperhidrosis.

Jose Ribas Milanez de Campos1, Paulo Kauffman2, Oswaldo Gomes1

  • 1Department of Thoracic Surgery, University of São Paulo, São Paulo, Brazil.

Thoracic Surgery Clinics
|July 19, 2016
PubMed
Summary

Video-assisted thoracic sympathectomy (VATS) became a standard treatment for hyperhidrosis by the 1980s. This minimally invasive surgery offers cosmetic benefits and reduced complications, making it widely accepted.

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Area of Science:

  • Thoracic surgery
  • Minimally invasive procedures
  • Symptomatic treatment

Background:

  • Endoscopic sympathetic denervation for upper limb vascular issues emerged in the 1980s.
  • Video-assisted thoracic sympathectomy (VATS) gained traction for hyperhidrosis treatment.
  • Key advantages include low morbidity and improved cosmetic outcomes.

Purpose of the Study:

  • To review the evolution and acceptance of VATS in hyperhidrosis treatment.
  • To highlight the benefits of VATS compared to traditional methods.
  • To note the increased scientific literature on VATS for hyperhidrosis.

Main Methods:

  • Review of historical medical literature and surgical practices.
  • Analysis of the adoption trends of VATS for hyperhidrosis.
Keywords:
HyperhidrosisPrimary hyperhidrosisSympathetic denervationThoracic sympathectomyVATS

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  • Comparison of VATS outcomes with other denervation techniques.

    • Main Results:

    • VATS demonstrated significant advantages, including reduced Horner's syndrome incidence.
    • Cosmetic results and shorter hospital stays contributed to its acceptance.
    • The procedure has become routine over the past 25 years.

    Conclusions:

    • VATS is a well-established and accepted surgical option for hyperhidrosis.
    • The increasing body of literature reflects its routine use and importance.
    • Minimally invasive thoracic sympathectomy has transformed hyperhidrosis management.