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Experience in thoracoscopic sympathectomy for hyperhidrosis with concomitant pleural adhesion
Surgical Laparoscopy & Endoscopy
|August 1, 1996
Summary
Thoracoscopic sympathectomy is effective for hyperhidrosis, even with pleural adhesions. Surgeon expertise allows safe endoscopic procedures, making coagulopathy the primary remaining contraindication.
Area of Science:
- Thoracic surgery
- Minimally invasive procedures
- Hyperhidrosis treatment
Background:
- Thoracoscopic sympathectomy is the leading treatment for hyperhidrosis.
- Pleural adhesion and coagulopathy are considered major contraindications.
Purpose of the Study:
- To demonstrate the feasibility of thoracoscopic sympathectomy in patients with pleural adhesions.
- To identify remaining contraindications for the procedure.
Main Methods:
- A retrospective analysis of 719 hyperhidrosis palmaris cases treated between 1989 and 1992.
- Focus on 24 patients (3.5%) with pre-existing pleural adhesions.
Main Results:
- 23 out of 24 patients with pleural adhesions underwent successful thoracoscopic sympathectomy.
- The right thoracic cavity showed more frequent and severe adhesions.
- Coagulopathy was identified as the sole remaining contraindication.
Conclusions:
- Thoracoscopic sympathectomy is highly feasible even with severe pleural adhesions.
- Surgical expertise and anatomical knowledge are crucial for overcoming adhesions.
- Coagulopathy remains the definitive contraindication for this procedure.