Korean J Thorac Cardiovasc Surg.
2002 Oct;35(10):724-729.
Ramicotomy of T2, 3 Sympathetic Ganglia for Palmar Hyperhidrosis
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Respiratory Center, Yongdong Severance Hospital, Yonsei University College of Medicine, Korea.
Abstract
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BACKGROUND: Although variable surgical methods of sympathetic nerve for palmar hyperhidrosis are curative and safe therapeutic options, they have some limitations such as compensatory sweating and anhidrosis of hand in long term satisfaction rate.
MATERIAL AND METHOD: Therefore, we tried to decrease severity of compensatory sweating and prevent excessive dryness of hand through selective division of rami communicantes of thoracic sympathetic ganglia distributed to the hands(ramicotomy).
RESULT: In postoperative results, about half of the patients maintained humidity of hands and most of them showed no more than mild degree of compensatory sweating.
CONCLUSION
Therefore, ramicotomy of thoracic sympathetic ganglia can be recommended as selective and physiologic surgical method for palmar hyperhidrosis.
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