Korean J Thorac Cardiovasc Surg.  1998 Jul;31(7):703-710.

Innovative Techniques for thoracic sympathectomy : Experience of 654 patients for essential hyperhidrosise

• Moon DS
• Lee DY
• Kim HK

Abstract

We treated 654 patients with simultaneous bilateral sympathectomy for essential hyperhidrosis from March 1989 to September 1997 (354 males and 300 females). The exposure afforded by thoracoscopy is actually superior to that seen at the time of either thoracotomy or axillary thoracotomy. The use of single-lumen intubation with alternating partially collapsed lung by CO2 inflation resulted in shorter anesthesia, shorter operative time, and shorter hospitalization. 2-mm extended thoracoscopic T2-sympathectomy is not only a time-saving method but also a very simple and effective one in the treatment of hyperhidrosis by experienced surgeons. The modification on our technique of thoracoscopic sympathectomy as described allowed us to significantly improve our previous results. A majority of the patients were relieved, and over 95% were satisfied initially.

Keyword

Hyperhidrosis; Sympathectomy; Surgery method

MeSH Terms

Anesthesia
Hospitalization
Humans
Hyperhidrosis*
Inflation, Economic
Intubation
Lung
Male
Operative Time
Sympathectomy*
Thoracoscopy
Thoracotomy