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Transthoracic sympathectomy.

British Journal of Hospital Medicine

|January 1, 1986

Summary

This summary is machine-generated.

Transthoracic sympathetic chain excision offers effective relief for severe hand hyperhidrosis. While also indicated for Raynaud

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Area of Science:

Thoracic surgery
Neurosurgery
Vascular surgery

Background:

Idiopathic hyperhidrosis and Raynaud's phenomenon significantly impact quality of life.
Sympathetic nervous system plays a role in these conditions.
Surgical intervention targets the sympathetic chain for symptom management.

Purpose of the Study:

To evaluate the efficacy and safety of transthoracic sympathetic chain excision.
To assess outcomes for severe idiopathic hyperhidrosis of the hands.
To determine the effectiveness for refractory severe Raynaud's phenomenon.

Main Methods:

Transthoracic approach for upper thoracic sympathetic chain excision.
Patient selection based on severe idiopathic hyperhidrosis or unresponsive Raynaud's phenomenon.

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Main Results:

Effective and safe surgical procedure.
Highly satisfactory and lasting relief for severe hand hyperhidrosis.
Variable long-term results for Raynaud's phenomenon with a tendency for relapse.

Conclusions:

Transthoracic sympathetic chain excision is a valuable treatment for severe hand hyperhidrosis.
The procedure provides significant, long-term benefits for hyperhidrosis.
Outcomes for Raynaud's phenomenon are less durable, with approximately 50% showing sustained improvement years later.