OBJECTIVE To assess quality of life before and after thoracoscopic sympathectomy for treatment of primary hyperhidrosis. METHODS we conducted an observational, analytical, cross-sectional and quantitative study. We evaluated patients undergoing thoracoscopic sympathectomy for primary axillary hyperhidrosis, primary palmar hyperhidrosis, and axillary hyperhidrosis associated with palmar one. W...

The present study was undertaken in order to measure the effect of a slight elevation of the head and shoulders upon the, cerebral circulation of hypertensive patients following sympathectomy. Twenty degree tilt was chosen because it could be tolerated for 20 minutes, as early as two weeks after the Smithwick sympathectomy. Shenkin and coworkers in 1948 reported that 200 head-up tilt did not al...

In both animals and humans, stimuli leading to sympathetic activation are accompanied by an impairment of the baroreceptor-heart rate reflex. To determine whether sympathetic activity normally interferes with this reflex function we examined in conscious Wistar-Kyoto (WKY) rats the effect of chemical sympathectomy by 6-hydroxydopamine on the bradycardic response to baroreceptor stimulation indu...

Despite lack of objective evidence based-support, lumbar sympathectomy (LS) continues to hold a place in the treatment of refractory ischemic ulceration or persistent rest pain, especially when there is a distal ischemia, which is not suitable for direct arterial surgery. There is no physiological basis to use lumbar sympathectomy for patients with intermittent claudication. The non-specificity...

BACKGROUND Primary hyperhidrosis is characterized by excessive sweating beyond physiological needs. It is a common disease (incidence 2.8%) that causes intense discomfort for patients. In the last decade, advantages of Single-Incision Thoracoscopic Sympathectomy have become clear, particularly in decreasing morbidity of sympathectomy. PATIENTS AND METHODS From January 2010 to December 2012, 3...