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Thoracic endoscopic sympathectomy in palmar and axillary hyperhidrosis
Archives of Surgery (Chicago, Ill. : 1960)
|March 1, 1978
Summary
Endoscopic thoracic sympathectomy effectively treats hyperhidrosis, relieving hand sweating in all patients. This minimally invasive procedure offers high patient satisfaction with minimal scarring.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Autonomic Nervous System
Background:
- Hyperhidrosis, particularly of the upper limbs, significantly impacts patient quality of life.
- Traditional thoracic sympathectomy carries risks and potential for visible scarring.
- Endoscopic techniques offer a less invasive alternative for surgical interventions.
Purpose of the Study:
- To describe and evaluate an endoscopic technique for thoracic sympathectomy.
- To assess the efficacy and safety of this minimally invasive approach for hyperhidrosis treatment.
- To determine patient satisfaction rates following endoscopic thoracic sympathectomy.
Main Methods:
- A thoracoscope equipped with electroresection tools was introduced into the pleural cavity after inducing pneumothorax.
- Endoscopic electroresection of the sympathetic trunk was performed.
- The procedure was conducted on 63 patients, totaling 124 sympathectomies.
Main Results:
- Complete resolution of palmar hyperhidrosis was achieved in all patients.
- Axillary sweating persisted in 18.6% of patients.
- Four patients experienced bothersome compensatory or gustatory sweating, while 55 reported high satisfaction.
Conclusions:
- Endoscopic thoracic sympathectomy is an effective and appropriate minor procedure for upper limb hyperhidrosis.
- The technique provides significant relief with minimal patient discomfort and nearly invisible scars.
- While generally safe, potential side effects like compensatory sweating warrant consideration.