ArticleWorld journal of surgery2011
Endoscopic lumbar sympathectomy following thoracic sympathectomy in patients with palmoplantar hyperhidrosis.
Article in World journal of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 32 citations in OpenAlex.
- Advances in Clinical Outcomes of Endoscopic Lumbar Sympathectomy: Analysis of 494 Consecutive Patients at a Single Institution.Journal of clinical medicine · 2025Article
- Sexual effects and long-term outcomes of endoscopic lumbar sympathectomy for plantar hyperhidrosis in men: a cross-sectional study.Jornal vascular brasileiro · 2024Article
- Retroperitoneoscopic lumbar sympathectomy for the treatment of primary plantar hyperhidrosis.BMC surgery · 2021Article
- Effects of lower thoracic sympathicotomy on plantar hyperhidrosis.Journal of thoracic disease · 2021Article
- Minilaparoscopic lumbar sympathectomy with 3 mm instruments for plantar hyperhidrosis.Jornal vascular brasileiro · 2020Article
- Curative effect of minimally invasive surgery on palmar and foot hyperhidrosis and its influence on serum-related cytokines and immunoglobulins.Experimental and therapeutic medicine · 2018Article
- Recovery of sympathetic nerve function after lumbar sympathectomy is slower in the hind limbs than in the torso.Neural regeneration research · 2017Article
- Quality of life after endoscopic lumbar sympathectomy for primary plantar hyperhidrosis.World journal of surgery · 2015Article
- Hands and feet: physiological insulators, radiators and evaporators.European journal of applied physiology · 2014Review
- Treatment of uncommon sites of focal primary hyperhidrosis: experience with pharmacological therapy using oxybutynin.Clinics (Sao Paulo, Brazil) · 2014Article
- In the search for the treatment of compensatory sweating.TheScientificWorldJournal · 2012Article
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4 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPalmoplantar hyperhidrosis is a common disease that leads to significant psychosocial strain for the affected person. Although the treatment of palmar symptoms with endoscopic thoracic sympathectomy (ETS) is clinically established, there are few data on the efficacy of an endoscopic lumbar sympathectomy (ELS) for the elimination of plantar symptoms. Especially the occurrence of unwanted side effects associated with sequential ETS and ELS has not been examined sufficiently.
methodsThe study includes 130 patients, 8 men and 122 women, with severe palmoplantar hyperhidrosis who were already previously treated with ETS. An average of 28 months after the ETS, bilateral ELS was performed on all patients due to persistent severe plantar hyperhidrosis. After ELS the perioperative morbidity, elimination rate of the plantar hyperhidrosis, the frequency of unwanted side effects, and satisfaction with the result were evaluated. Follow-up examinations were carried out on 96 patients (74%) with a mean follow-up of 37 months (3-90 months).
resultsA total of 260 lumbar sympathectomies were successfully carried out endoscopically. Mortality was zero, intraoperative complications occurred in three (2.3%) patients and postoperative complications in six (4.6%). Plantar hyperhidrosis was eliminated in 93 patients (97%), 3 (3%) patients developed a one-sided recurrence. Seven patients (7%) developed minor compensatory sweating, and in 17 patients (18%) compensatory sweating that existed before the ELS was slightly increased. Transient postsympathectomy neuralgia was observed in 18 patients (19%), and none of the patients showed a sexual function disorder. Altogether, 77 patients (80%) were very satisfied with the postoperative result, and 16 (17%) were partially satisfied.
conclusionsThe sesequential performance of ELS after ETS appears to be a safe, effective therapy option for patients with severe palmoplantar hyperhidrosis. However, more experience with a larger number of patients and longer follow-up investigations are necessary to confirm the safety of four-limb sympathectomy.
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