ArticleThe Journal of thoracic and cardiovascular surgery2014
Expanded level of sympathetic chain removal does not increase the incidence or severity of compensatory hyperhidrosis after endoscopic thoracic sympathectomy.
Article in The Journal of thoracic and cardiovascular surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 19 citations in OpenAlex.
- Enhancing Quality of Life: Pre- and Postoperative Assessment in Idiopathic Hyperhidrosis Patients.Cureus · 2023Article
- Endoscopic thoracic sympathotomy for primary hyperhidrosis: predictors of outcome over a 10-year period.Surgical endoscopy · 2022Article
- New sympathicotomy for prevention of severe compensatory hyperhidrosis in patients with primary hyperhidrosis.Journal of thoracic disease · 2020Article
- Sympathotomy for severe compensatory hyperhidrosis in the trunk due to traumatic cervical spinal cord injury.Journal of thoracic disease · 2020Article
- Compensatory hyperhidrosis after different surgeries at the same sympathetic levels: a meta-analysis.Annals of translational medicine · 2018Article
- Comparison of the Long-Term Results of R3 and R4 Sympathicotomy for Palmar Hyperhidrosis.The Korean journal of thoracic and cardiovascular surgery · 2017Article
- Thoracic sympathectomy: a review of current indications.Surgical endoscopy · 2016Review
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveCompensatory hyperhidrosis is a common devastating adverse effect after endoscopic thoracic sympathectomy for patients undergoing surgical treatment of primary hyperhidrosis. We sought to determine whether a correlation existed in our patient population between the level and extent of sympathetic chain resection and the subsequent development of compensatory hyperhidrosis.
methodsAll patients undergoing endoscopic thoracic sympathectomy in the T2-T3, T2-T4, T2-T5, or T2-T6 levels for palmar or axillary hyperhidrosis at the University of Iowa Hospital and Clinics (n = 97) from January 2004 to January 2013 were retrospectively reviewed.
resultsDifferences in the preoperative patient characteristics were not statistically significant among the patients receiving T2-T3, T2-T4, T2-T5, or T2-T6 level resections. Of the 97 included patients, 28 (29%) experienced transient compensatory hyperhidrosis and 4 (4%) complained of severe compensatory hyperhidrosis and required additional treatment. No operative mortalities occurred, and the morbidity was similar among the groups.
conclusionsMost patients had successful outcomes after undergoing extensive resection without changes in the incidence of compensatory hyperhidrosis. Therefore, we recommend performing complete and adequate resection for relief of symptoms in patients with primary hyperhidrosis.
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