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Extended uniportal bilateral sympathectomy.

Marcello Migliore1, Manuela Palazzolo1, Manuela Pennisi1

  • 1Section of Thoracic Surgery, Department of General and Medical Specialties, Policlinico University Hospital of Catania, University of Catania, Catania, Italy.

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Primary hyperhidrosis significantly impacts quality of life. Surgical interruption of the sympathetic chain offers definitive treatment, with a minimally invasive uniportal approach proving effective.

Keywords:
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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Neurology

Background:

  • Hyperhidrosis affects 3% of the population, severely compromising quality of life.
  • Sympathectomy and nerve of Kuntz interruption are definitive treatments for primary hyperhidrosis.
  • Minimally invasive surgical techniques are increasingly preferred for thoracic procedures.

Purpose of the Study:

  • To present an extended uniportal video-assisted sympathectomy technique.
  • To highlight the benefits of the uniportal approach for hyperhidrosis treatment.

Main Methods:

  • Uniportal video-assisted thoracic surgery (VATS).
  • Extended sympathectomy and nerve of Kuntz interruption.
  • Single 1-2 cm port access without specimen retrieval.

Main Results:

  • The uniportal approach facilitates efficient surgical access.
  • No specimen retrieval is necessary, simplifying the procedure.
  • The technique is well-suited for definitive hyperhidrosis treatment.

Conclusions:

  • The extended uniportal VATS technique is a beneficial approach for hyperhidrosis surgery.
  • Uniportal access offers advantages in terms of invasiveness and efficiency.
  • This method provides a definitive treatment option for patients with hyperhidrosis.