ArticleMayo Clinic proceedings2011
Endoscopic transthoracic limited sympathotomy for palmar-plantar hyperhidrosis: outcomes and complications during a 10-year period.
Article in Mayo Clinic proceedings, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Optimal targeting of sympathetic chain levels for treatment of palmar hyperhidrosis: an updated systematic review.Surgical endoscopy · 2017Pooled it
- Selective TScientific reports · 2021Trial
- Efficacy and safety of radiofrequency ablation versus surgical sympathectomy in palmar hyperhidrosis.Scientific reports · 2024Article
- Persistent Horner Syndrome Following Bilateral Endoscopic Thoracic Sympathotomy: A Case Report.Neuro-ophthalmology (Aeolus Press) · 2024Article
- Knowledge of surgical management of hyperhidrosis among primary care physicians and the general public.Interactive cardiovascular and thoracic surgery · 2022Article
- Endoscopic thoracic sympathotomy for primary hyperhidrosis: predictors of outcome over a 10-year period.Surgical endoscopy · 2022Article
- Transareolar single-port endoscopic thoracic sympathectomy with a flexible endoscope for primary palmar hyperhidrosis: a prospective randomized controlled trial.Annals of translational medicine · 2020Article
- Video-assisted thoracoscopic sympathectomy versus modified Wittmoser method in surgical management of primary hyperhidrosis.Journal of cardiothoracic surgery · 2020Article
- Hyperhidrosis, Endoscopic Thoracic Sympathectomy, and Cardiovascular Outcomes: A Cohort Study Based on the Korean Health Insurance Review and Assessment Service Database.International journal of environmental research and public health · 2019Article
- T3 versus T4 video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis: A protocol for a systematic review and meta-analysis.Medicine · 2019Article
- Endoscopic thoracic sympathectomy for primary focal hyperhidrosis: impact on psycho-social symptomatology and psychotropic medication use.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2018Article
- [Hyperhidrosis-aetiopathogenesis, diagnosis, clinical symptoms and treatment].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2018Article
- Effectiveness, success rates, and complications of different thoracoscopic sympathectomy techniques in patients with palmar hyperhidrosis.Turk gogus kalp damar cerrahisi dergisi · 2018Article
- Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters?The Indian journal of medical research · 2017Article
- Severe compensatory hyperhidrosis after thoracic sympathectomy.Neurology. Clinical practice · 2016Article
- Sympathotomy for palmar hyperhidrosis: the cutting versus clamping methods.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2015Article
- Management of hyperhidrosis.Clinical, cosmetic and investigational dermatology · 2014Review
- Embryonic NOTES thoracic sympathectomy for palmar hyperhidrosis: results of a novel technique and comparison with the conventional VATS procedure.Surgical endoscopy · 2013Article
- Single incision thoracoscopic sympathectomy for hyperhidrosis.BMJ case reports · 2012Article
- In the search for the treatment of compensatory sweating.TheScientificWorldJournal · 2012Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo review surgical results of endoscopic transthoracic limited sympathotomy for palmar-plantar hyperhidrosis during the past decade. PATIENTS AND
methodsWe retrospectively reviewed 155 consecutive patients who underwent surgery from June 30, 2000, through December 31, 2009, for medically refractory palmar-plantar hyperhidrosis using a technique of T1-T2 sympathotomy disconnection, designed for successful palmar response and minimization of complications.
resultsOf the 155 patients, 44 (28.4%) were male, and 111 (71.6%) were female; operative times averaged 38 minutes. No patient experienced Horner syndrome, intercostal neuralgia, or pneumothorax. The only surgical complication was hemothorax in 2 patients (1.3%); in 1 patient, it occurred immediately postoperatively and in the other patient, 10 days postoperatively; treatment in both patients was successful. All 155 patients had successful (warm and dry) palmar responses at discharge. Long-term follow-up (>3 months; mean, 40.2 months) was obtained for 148 patients (95.5%) with the following responses to surgery: 96.6% of patients experienced successful control of palmar sweating; 69.2% of patients experienced decreased axillary sweating; and 39.8% of patients experienced decreased plantar sweating. At follow-up, 5 patients had palmar sweating (3 patients, <3 months; 1 patient, 10-12 months; 1 patient, 16-18 months). Compensatory hyperhidrosis did not occur in 47 patients (31.7%); it was mild in 92 patients (62.2%), moderate in 7 patients (4.7%), and severe in 2 patients (1.3%).
conclusionIn this series, a small-diameter uniportal approach has eliminated intercostal neuralgia. Selecting a T1-T2 sympathotomy yields an excellent palmar response, with a very low severe compensatory hyperhidrosis complication rate. The low failure rate was noted during 18 months of follow-up and suggests that longer follow-up is necessary in these patients.
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