Related Experiment Video
Updated: Mar 14, 2026

Targeting Gray Rami Communicantes in Selective Chemical Lumbar Sympathectomy
Published on: January 10, 2019
Less Common Side Effects of Sympathetic Surgery
Lyall A Gorenstein1, Mark J Krasna2
1New York Presbyterian Hospital, Columbia University, 161 Fort Washington Avenue, New York, NY 10032, USA.
Abstract:
Because of video-assisted thoracic technology and increased patient awareness of treatment options for palmar hyperhidrosis, endoscopic thoracic sympathectomy (ETS) has become a well-accepted treatment for this disorder. Video assistance affords excellent visualization of thoracic anatomy, which allows the procedure to be done quickly with few complications. However, despite the ease of performing ETS, complications can occur unless thoracic anatomy and physiology are well-understood. Awareness of possible intraoperative and postoperative complications is essential if this procedure is gong to be performed safely.
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