ArticleClinical autonomic research : official journal of the Clinical Autonomic Research Society2006
Sympathectomy for hyperhidrosis: should we place the clamps at T2-T3 or T3-T4?
Article in Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- T2-sparing vs T2-including sympathectomy for hyperhidrosis: a meta-analysis on compensatory sweating.Journal of cardiothoracic surgery · 2026Pooled it
- Optimal targeting of sympathetic chain levels for treatment of palmar hyperhidrosis: an updated systematic review.Surgical endoscopy · 2017Pooled it
- Long-term results of endoscopic sympathetic block using the Lin-Telaranta classification.Surgical endoscopy · 2013Trial
- Intraoperative changes in upper extremity perfusion index after thoracic paravertebral and intertransverse process block in patients undergoing lung resection surgery.Journal of thoracic disease · 2024Article
- Changes in electrodermal activity following sympathicotomy in hyperhidrosis patients.Frontiers in surgery · 2024Article
- Comparison of the efficacy of ETS with different segments for palmar, axillary and plantar hyperhidrosis.BMC surgery · 2023Article
- Surgical management of compensatory sweating: A systematic review.Frontiers in surgery · 2023Review
- IS THERE NEURAL AND FUNCTIONAL RECOVERY AFTER CLIP REMOVAL IN CERVICAL EXPERIMENTAL SYMPATHECTOMY?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2021Article
- A retrospective cohort study of T3 versus T4 thoracoscopic sympathectomy for primary palmar hyperhidrosis and primary palmar hyperhidrosis with axillary and plantar sweating.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020Article
- Does clip removal help for compensatory hyperhidrosis complicating thoracic sympathetic clipping?Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019Article
- Article
- Thoracic sympathectomy: a review of current indications.Surgical endoscopy · 2016Review
- Single-Port Microthoracoscopic Sympathicotomy for the Treatment of Primary Palmar Hyperhidrosis: an Analysis of 56 Consecutive Cases.The Indian journal of surgery · 2015Article
- Is clipping the preferable technique to perform sympathicotomy? A retrospective study and review of the literature.Langenbeck's archives of surgery · 2015Review
- Sympathetic chain clipping for hyperhidrosis is not a reversible procedure.Surgical endoscopy · 2012Article
- Impact of T3 thoracoscopic sympathectomy on pupillary function: a cause of partial Horner's syndrome?Surgical endoscopy · 2012Article
- [Treatment of palmar and axillary hyperhidrosis: thoracoscopic resection of the sympathetic chain].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2008Article
- The correlation between the method of sympathetic ablation for palmar hyperhidrosis and the occurrence of compensatory hyperhidrosis: a review.World journal of surgery · 2008Review
- Results, side effects and complications after thoracoscopic sympathetic block by clamping. The monza clinical experience.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2008Article
- Treatment of palmar hyperhidrosis: T(4) level compared with T(3) and T(2).Annals of surgery · 2007Article
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No grant is acknowledged in the PubMed record.
Abstract
Endoscopic thoracic sympathectomy is routinely used to treat severe hyperhidrosis. It is usually performed at the T2-T3 level of the nerve, but may produce less severe compensatory hidrosis if performed at a lower level. This study evaluates the outcome of 1,274 patients who underwent endoscopic thoracic sympathectomy for plamar, plantar, axillary or facial hyperhidrosis/blushing. Half of the patients were clamped at the T2-T3 level and half were clamped at the T3-T4 level. Postsurgical symptoms and side effects were assessed by interview. All of patients with palmar hyperhidrosis were cured or improved. Patients with plantar and axillary hyperhidrosis were more likely to be improved at T3-T4 level clamping. Patients with facial hyperhidrosis were more likely to be cured at T2-T3 level, but did show improvement at the T3-T4 level. Overall satisfaction was higher in the T3-T4 group. Some degree of mild compensatory sweating occurred in all patients. However, severe compensatory sweating was more common in the T2-T3 group. Around 2% of patients requested a reversal of their surgery. Endoscopic thoracic sympathectomy is a safe and effective treatment for hyperhidrosis. Clamping at the T3-T4 level has a more successful outcome. In particular, it appears to reduce the incidence of severe compensatory hidrosis.
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