Endoscopic thoracic sympathectomy for treatment of essential hyperhidrosissyndrome: Experience with 650 patients

Citation
R. Reisfeld et al., Endoscopic thoracic sympathectomy for treatment of essential hyperhidrosissyndrome: Experience with 650 patients, SURG LA E P, 10(1), 2000, pp. 5-10
Citations number
25
Categorie Soggetti
Surgery
Journal title
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
ISSN journal
10517200 → ACNP
Volume
10
Issue
1
Year of publication
2000
Pages
5 - 10
Database
ISI
SICI code
1051-7200(200002)10:1<5:ETSFTO>2.0.ZU;2-0
Abstract
Patients with essential hyperhidrosis (EH) syndrome may experience subjecti ve suffering and social/occupational challenges. We examined the safety and efficacy of minimally invasive endoscopic surgery for treating EH. Single bilateral incisions, followed by endoscopic thoracic sympathectomy (ETS)-me diated bilateral ablation of the T2 sympathetic ganglia, were used to treat 650 patients with a primary diagnosis of palmar (90%) or facial hyperhidro sis (10%). Palmar and facial hyperhidrosis were resolved in 584 of 585 (>99 %) and 62 of 65 (95%) patients, respectively. Surgery required less than 1 hour, and no patient experienced a life-threatening adverse event. Compensa tory sweating was observed in 83% of patients and was considered mild or mo derate in approximately 67% of those patients. Innovations in ETS have resu lted in minimally invasive, highly efficient, safe treatment of EH. Surgery is minimally intrusive to patients, who were usually discharged within 2 h ours after surgery and able to resume normal activities within 1 week.