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Transthoracic endoscopic sympathectomy for hyperhidrosis and Raynaud's phenomenon
R D Sayers1, R E Jenner, W W Barrie
1Department of Surgery, Leicester General Hospital, U.K.
European Journal of Vascular Surgery
|September 1, 1994
Summary
Transthoracic endoscopic sympathectomy effectively treats hyperhidrosis with lasting results. For Raynaud's phenomenon, it offers initial relief, though symptoms may recur over time.
Area of Science:
- Thoracic surgery
- Vascular surgery
- Dermatology
Background:
- Transthoracic endoscopic sympathectomy (TES) is a surgical option for conditions like hyperhidrosis and Raynaud's phenomenon.
- Evaluating the long-term efficacy and safety of TES is crucial for patient management.
Purpose of the Study:
- To assess the outcomes of transthoracic endoscopic sympathectomy (TES) for palmar hyperhidrosis and Raynaud's phenomenon.
- To determine the durability of symptom improvement following TES.
Main Methods:
- A retrospective review of 53 TES procedures in 34 patients over 80 months.
- Data collected via postal questionnaires assessing symptom improvement and recurrence.
- Analysis of indications including palmar hyperhidrosis, axillary hyperhidrosis, and Raynaud's phenomenon.
Main Results:
- Immediate symptom improvement was observed in 93% for palmar hyperhidrosis, 100% for palmar and axillary hyperhidrosis, and 64% for Raynaud's phenomenon.
- Sustained improvement was noted in 87% for palmar hyperhidrosis and 100% for palmar and axillary hyperhidrosis.
- For Raynaud's phenomenon, sustained improvement was lower (45%), with symptom recurrence observed over time.
Conclusions:
- Transthoracic endoscopic sympathectomy (TES) is a safe and effective procedure for hyperhidrosis, offering excellent and prolonged results.
- TES provides initial relief for Raynaud's phenomenon, but long-term efficacy may be limited by symptom recurrence.
