T4 Sympathectomy for Palmar Hyperhidrosis: An Effective Approach that Simultaneously Minimizes Compensatory Hyperhidrosis
نویسندگان
چکیده
منابع مشابه
T4 sympathectomy for palmar hyperhidrosis: looking for the right operation.
Most surgeons still perform T2 or T2-3 sympathectomy for palmar hyperhidrosis (PH), but both of these treatments can cause severe side effects. Some recent articles advocating T4 sympathectomy have obtained satisfactory results. The aim of this study was to compare the outcomes of 3 different levels of sympathectomy. Between July 2003 and July 2006, we treated 60 patients (20 men and 40 women, ...
متن کاملSympathotomy instead of sympathectomy for palmar hyperhidrosis: minimizing postoperative compensatory hyperhidrosis.
OBJECTIVE To determine whether anatomical modification of sympathectomy diminishes severe postoperative compensatory hyperhidrosis. PATIENTS AND METHODS From January 1, 2000, to June 1, 2001, we prospectively studied 10 consecutive patients with primary palmar hyperhidrosis, aged 14 to 42 years. Medical therapy had failed in all patients. A preoperative and postoperative evaluation and thermo...
متن کاملEndoscopic thoracic sympathectomy for palmar hyperhidrosis.
Primary palmar hyperhidrosis is a disorder of excessive perspiration. In severe cases it can be socially and professionally debilitating and conservative therapy is usually unsatisfactory. Endoscopic thoracic sympathectomy (ETS) is considered an effective treatment for palmar hyperhidrosis. However, many different procedures have been used: simple resection of the sympathetic ganglion, transect...
متن کاملSevere pompholyx following endoscopic thoracic sympathectomy for palmar hyperhidrosis.
Endoscopic thoracic sympathectomy has become the preferred method for treating intractable palmar hyperhidrosis because of its simplicity, though various complications have been reported. We report two patients suffered from severe palmar pompholyx-like eczema following this procedure. One was successfully treated with topical and oral steroids, however, the other had a wavelike continuation of...
متن کاملIs sympathectomy at T4 level better than at T3 level for treating palmar hyperhidrosis?
PURPOSE We compared the results from a video-assisted thoracoscopic sympathectomy (VTS) at the T4 denervation level with those from a VTS at the T3 level for the treatment of palmar hyperhydrosis (PH). METHODS Seventy patients with PH were prospectively followed for VTS at the T3 or T4 denervation levels for 6 months. The end points of this study were: absence of PH, compensatory hyperhydrosi...
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ژورنال
عنوان ژورنال: The Kaohsiung Journal of Medical Sciences
سال: 2005
ISSN: 1607-551X
DOI: 10.1016/s1607-551x(09)70126-3