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Hyperhidrosis treated by thoracoscopic sympathicotomy

C Drott1, G Claes

  • 1Department of Surgery, Borås Hospital, Sweden.

Cardiovascular Surgery (London, England)
|December 1, 1996
PubMed
Summary
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Endoscopic transthoracic sympathicotomy offers a safe and effective solution for hyperhidrosis. This minimally invasive procedure provides long-lasting relief for excessive sweating in the palms, axillae, and face.

Area of Science:

  • Surgical Innovation
  • Minimally Invasive Procedures
  • Hyperhidrosis Treatment

Background:

  • Palmar, axillary, and facial hyperhidrosis significantly impair social and professional life.
  • Current non-operative treatments for hyperhidrosis offer limited and temporary relief.
  • Traditional open sympathectomy presents considerable risks, limiting its widespread adoption.

Purpose of the Study:

  • To evaluate the efficacy and safety of endoscopic transthoracic sympathicotomy for hyperhidrosis.
  • To present long-term outcomes of a minimally invasive surgical approach.
  • To compare endoscopic sympathectomy with traditional surgical methods.

Main Methods:

  • A simple endoscopic technique using standard urological equipment was employed.

Related Experiment Videos

  • The upper thoracic sympathetic chain was divided in 1163 patients since 1987.
  • Procedures were bilateral, averaging under 20 minutes with a one-night hospital stay.

    • Main Results:

    • High patient satisfaction rate of 98% at a median follow-up of 31 months.
    • Low complication rates: <1% for hemo- or pneumothorax, 4 cases of Horner's syndrome.
    • Low failure and recurrence rates (<2%), with successful reoperation in most cases.

    Conclusions:

    • Endoscopic transthoracic sympathicotomy is an efficient and safe surgical treatment for hyperhidrosis.
    • The minimally invasive nature offers a favorable risk-benefit profile compared to open surgery.
    • This technique provides durable and satisfactory results for patients suffering from excessive sweating.