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Endoscopic Transthoracic Sympathectomy

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Essentials of Pediatric Endoscopic Surgery

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Abstract

Thoracscopic upper thoracic sympathectomy is a well established procedure for the treatment of primary palmer and axillary hyperhidrosis in children and adolescents. Earyl intervention before developing learning and social problems is recommended in affected children.

The procedure is carried out under general anesthesia in semi-sitting position with abducted uper limbs and achieved bilaterally via single 10mm, 0 degreee endoscope with working 5mm channel. Endoscopic ablation of T2-T3 sympathetic fibers for palmar and T2-T4 for both palmar and axilliary hyperhidrosis is performed by electrocautery with Endohook. Different technical variations of the procedure exist.

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Recommended Literature

  1. Gossot D, Galetta D, Pascal A, Debrosse D, Caliandro R, Girard P, Stern JB, Grunenwald D (2003) Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg 75:?1075–1079

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  2. Lin TS, Fang HY (1999) Transthoracic endoscopic sympathectomy in the treatment of palmar hyperhidrosis – with emphasis on perioperative management (1,360 case analyses) Surg Neurol 52:453–457

    Article  CAS  PubMed  Google Scholar 

  3. Lin TS, Kuo SJ, Chou MC (2002) Uniportal endoscopic thoracic sympathectomy for treatment of palmar and axillary hyperhidrosis: analysis of 2000 cases. Neurosurgery 51:84–87

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Dana Children’s Hospital - Sackler Faculty of Medicine, Tel Aviv Sourasky Medical Center, 6 Weitzman St, Tel Aviv, Israel

    Sergey Keidar & Itzhak Vinograd

Authors
  1. Sergey Keidar
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  2. Itzhak Vinograd
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Editor information

Editors and Affiliations

  1. Department of Pediatric and Adolescent Surgery, Medical University of Graz, Auenbruggerplatz 34, 8036, Graz, Austria

    Amulya K. Saxena  & Michael E. Höllwarth  & 

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© 2009 Springer-Verlag Berlin Heidelberg

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Keidar, S., Vinograd, I. (2009). Endoscopic Transthoracic Sympathectomy. In: Saxena, A., Höllwarth, M. (eds) Essentials of Pediatric Endoscopic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78387-9_22

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  • DOI: https://doi.org/10.1007/978-3-540-78387-9_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-78386-2

  • Online ISBN: 978-3-540-78387-9

  • eBook Packages: MedicineMedicine (R0)

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