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. 1992 Mar;215(3):289–293. doi: 10.1097/00000658-199203000-00015

Endoscopic transthoracic sympathectomy in the treatment of hyperhidrosis.

R A Edmondson 1, A K Banerjee 1, J A Rennie 1
PMCID: PMC1242435  PMID: 1543403

Abstract

A 5-year experience of 50 endoscopic transaxillary dorsal sympathectomies is presented. The procedure was successful in either curing or improving the symptoms of hyperhidrosis in the great majority of patients. The commonest side effects were compensatory sweating (75%) and gustatory sweating (48%); despite this, there was an extremely high level of patient satisfaction. Permanent Horner's syndrome did not occur. The procedure is effective, simple, cheap, and requires only an overnight stay; and is recommended as the method of choice for the surgical treatment of upper limb hyperhidrosis.

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Selected References

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  1. ATKINS H. J. Sympathectomy by the axillary approach. Lancet. 1954 Mar 13;266(6811):538–539. doi: 10.1016/s0140-6736(54)91306-9. [DOI] [PubMed] [Google Scholar]
  2. Adar R., Kurchin A., Zweig A., Mozes M. Palmar hyperhidrosis and its surgical treatment: a report of 100 cases. Ann Surg. 1977 Jul;186(1):34–41. doi: 10.1097/00000658-197707000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bogokowsky H., Slutzki S., Bacalu L., Abramsohn R., Negri M. Surgical treatment of primary hyperhidrosis. A report of 42 cases. Arch Surg. 1983 Sep;118(9):1065–1067. doi: 10.1001/archsurg.1983.01390090049011. [DOI] [PubMed] [Google Scholar]
  4. Byrne J., Walsh T. N., Hederman W. P. Endoscopic transthoracic electrocautery of the sympathetic chain for palmar and axillary hyperhidrosis. Br J Surg. 1990 Sep;77(9):1046–1049. doi: 10.1002/bjs.1800770931. [DOI] [PubMed] [Google Scholar]
  5. Cloward R. B. Hyperhydrosis. J Neurosurg. 1969 May;30(5):545–551. doi: 10.3171/jns.1969.30.5.0545. [DOI] [PubMed] [Google Scholar]
  6. Ellis H. Axillary hyperhidrosis: failure of subcutaneous curettage. Br Med J. 1977 Jul 30;2(6082):301–302. doi: 10.1136/bmj.2.6082.301. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Golueke P. J., Garrett W. V., Thompson J. E., Talkington C. M., Smith B. L. Dorsal sympathectomy for hyperhidrosis--the posterior paravertebral approach. Surgery. 1988 May;103(5):568–572. [PubMed] [Google Scholar]
  8. Greenhalgh R. M., Rosengarten D. S., Martin P. Role of sympathectomy for hyperhidrosis. Br Med J. 1971 Feb 6;1(5744):332–334. doi: 10.1136/bmj.1.5744.332. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Harris J. D., Jepson R. P. Essential hyperhidrosis. Med J Aust. 1971 Jul 17;2(3):135–138. [PubMed] [Google Scholar]
  10. Keaveny T. V., Fitzgerald P. A., Donnelly C., Shanik G. D. Surgical management of hyperhidrosis. Br J Surg. 1977 Aug;64(8):570–571. doi: 10.1002/bjs.1800640812. [DOI] [PubMed] [Google Scholar]
  11. Kux M. Thoracic endoscopic sympathectomy in palmar and axillary hyperhidrosis. Arch Surg. 1978 Mar;113(3):264–266. doi: 10.1001/archsurg.1978.01370150036005. [DOI] [PubMed] [Google Scholar]
  12. PALUMBO L. T. Anterior transthoracic approach for upper thoracic sympathectomy. AMA Arch Surg. 1956 Apr;72(4):659–666. doi: 10.1001/archsurg.1956.01270220107014. [DOI] [PubMed] [Google Scholar]
  13. Roos D. B. Experience with first rib resection for thoracic outlet syndrome. Ann Surg. 1971 Mar;173(3):429–442. doi: 10.1097/00000658-197103000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. SKOOG T., THYRESSON N. Hyperhidrosis of the axillae. A method of surgical treatment. Acta Chir Scand. 1962 Dec;124:531–538. [PubMed] [Google Scholar]
  15. Shelley W. B., Hurley H. J., Jr Studies on topical antiperspirant control of axillary hyperhidrosis. Acta Derm Venereol. 1975;55(4):241–260. doi: 10.2340/0001555555241260. [DOI] [PubMed] [Google Scholar]
  16. Wilkinson H. A. Radiofrequency percutaneous upper-thoracic sympathectomy. Technique and review of indications. N Engl J Med. 1984 Jul 5;311(1):34–36. doi: 10.1056/NEJM198407053110106. [DOI] [PubMed] [Google Scholar]

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