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Hyperhidrosis and Thoracic Sympathectomy

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Pediatric Thoracic Surgery

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References

  1. Collin J. Treating hyperhidrosis: Surgery and botulinum toxin are treatment for severe cases. Brit Med J 2000; 320:1221–1222.

    Article  PubMed  CAS  Google Scholar 

  2. Strutton DR, Kowalski JW, Glaser DA, et al. US prevalence of hyperhidrosis and impact on individuals with axillary hyper-hidrosis: results from a national survey. J Am Acad Dermatol 2004; 51: 241–248.

    Article  PubMed  Google Scholar 

  3. Hashmonai M, Kopelman D. History of sympathetic surgery. Clin Auton Res 2003; 13 (Suppl 1): I6–9.

    PubMed  Google Scholar 

  4. Jaboulay M. Le traitment de quelques troubles trophiques de le pied et de la jambe par la denudation de l'artere et la distension des nerfs vasculaires. J Med Lyon 1899; 91:467.

    Google Scholar 

  5. Adson AW, Brown GE. The treatment of Raynaud's disease by resection of the upper thoracic and lumber sympathetic ganglia and trunks. Surg Gynecol Obstet 1929; 48:577.

    Google Scholar 

  6. Kux M Throacoscopic endoscopic sympathectomy in palmer and axillary hyperhidrosis Arch Surg 1978; 113:264

    PubMed  CAS  Google Scholar 

  7. Sato K, Kang WH, Saga K, Sato KT. Biology of sweat glands and their disorders. I. Normal sweat gland function. J Am Acad Dermatol 1989; 20:537–563.

    Article  PubMed  CAS  Google Scholar 

  8. Hölzle E. Pathophysiology of sweating. Curr Probl Dermatol 2002; 30:10–22.

    Article  PubMed  Google Scholar 

  9. Kuntz A. Distribution of the sympathetic rami to the brachial plexus: its relationto sympathectomy affecting the upper extremity. Arch. Surg 1927; I5:871–877.

    Google Scholar 

  10. Cho HM, Lee DY, Sung SW. Anatomical variations of rami com-municantes in the upper thoracic sympathetic trunk. Eur J Car-diothorac Surg 2005; 27:320–324.

    Article  Google Scholar 

  11. Sato K, Kang WH, Saga K, Sato KT. Biology of sweat glands and their disorders. II. Disorders of sweat gland function. J Am Acad Dermatol 1989; 20:713–726.

    Article  PubMed  CAS  Google Scholar 

  12. Heckmann M. Hyperhidrosis of the axilla. Curr Probl Dermatol 2002; 30:149–155.

    Article  PubMed  Google Scholar 

  13. Ro KM, Cantor RM, Lange KL, Ahn SS. Palmar hyperhidrosis: evidence of genetic transmission. J Vasc Surg 2002; 35:382– 386.

    Article  PubMed  Google Scholar 

  14. Hund M, Kinkelin I, Naumann M, Hamm H. Definition of axillary hyperhidrosis by gravimetric assessment. Arch Dermatol. 2002; 138:539–541.

    Article  PubMed  Google Scholar 

  15. http://www.sweathelp.org/English/HCP_Treatment_Topical.asp

  16. Hölzle E. Topical pharmacological treatment. Curr Probl Derma-tol. 2002; 30:30–43.

    Article  Google Scholar 

  17. Naumann M, Lowe NJ. Botulinum toxin type A in treatment of bilateral primary axillary hyperhidrosis: randomised, parallel group, double blind, placebo controlled trial. Brit Med J 2001; 323:596–599.

    Article  PubMed  CAS  Google Scholar 

  18. Anliker MD, Kreyden OP. Tap water iontophoresis. Curr Probl Dermatol 2002; 30:48–56.

    Article  PubMed  Google Scholar 

  19. Shelley WB, Horvath PN, Weidman FD, Pillsbury DM. Experimental miliaria in man. I. Production of sweat retention anhidro-sis and vesicles by means of Iontophoresis. J Invest Dermatol 1948; 11:275.

    PubMed  CAS  Google Scholar 

  20. Shrivastava SN, Singh G. Tap water iontophoresis in palmoplan-tar hyperhidrosis. Brit J Dermatol 1977; 96:189–195.

    Article  CAS  Google Scholar 

  21. Hafner J, Beer GM. Axillary sweat gland excision. Curr Probl Dermatol 2002; 30:57–63.

    Article  PubMed  Google Scholar 

  22. Swinehart JM. Treatment of axillary hyperhidrosis: combination of the starch-iodine test with the tumescent liposuction technique. Dermatol Surg 2000; 26:392–396.

    Article  PubMed  CAS  Google Scholar 

  23. Naumann M, Hamm H.Treatment of axillary hyperhidrosis. Br J Surg 2002; 89:259–261.

    Article  PubMed  CAS  Google Scholar 

  24. Atkins HJB. Sympathectomy by the axillary approach. Lancet 1954; I:538

    Article  Google Scholar 

  25. Nanson EM. The anterior approach to upper dorsal sympathec-tomy. Surg Gynecol Obstet 1957; 104:118–120.

    PubMed  CAS  Google Scholar 

  26. Palumbo LT. Upper dorsal sympathectomy without Horner's syndrome. AMA Arch Surg 1955; 71:743–751.

    PubMed  CAS  Google Scholar 

  27. Mackay HJ. Improved approach for posterior upper thoracic sympathectomy. J Am Med Assoc 1955; 159:1261–1263.

    PubMed  CAS  Google Scholar 

  28. Ray BS. Sympathectomy of the upper extremity; evaluation of surgical methods. J Neurosurg 1953; 10:624–633.

    Article  PubMed  CAS  Google Scholar 

  29. Kux E. The endoscopic approach to the vegetative nervous system and its therapeutic possibilities; especially in duodenal ulcer, angin-a pectoris, hypertension and diabetes. Dis Chest 1951; 20:139–147.

    PubMed  CAS  Google Scholar 

  30. Kopelman D, Hashmonai M, Ehrenreich M, et al. Upper dorsal thoracoscopic sympathectomy for palmar hyperhidrosis: improved intermediate-term results. J Vasc Surg 1996; 24:194–199.

    Article  PubMed  CAS  Google Scholar 

  31. Montessi J, Almeida EP, Vieira JP, et al. Video-assisted thoracic sympathectomy in the treatment of primary hyperhidrosis: a retrospective study of 521 cases comparing different levels of ablation. J Bras Pneumol 2007; 33:248–254.

    Article  PubMed  Google Scholar 

  32. Jeganathan R, Jordan S, Jones M, et al. Bilateral thoracoscopic sympathectomy: results and long-term follow-up. Interact Car-diovasc Thorac Surg 2008; 7:67–70.

    Article  Google Scholar 

  33. Moya J, Ramos R, Morera R, et al. Thoracic sympathicolysis for primary hyperhidrosis: a review of 918 procedures. Surg Endosc 2006; 20:598–602.

    Article  PubMed  CAS  Google Scholar 

  34. Kwong KF, Cooper LB, Bennett LA, et al. Clinical experience in 397 consecutive thoracoscopic sympathectomies. Ann Thorac Surg 2005; 80:1063–1066.

    Article  PubMed  Google Scholar 

  35. Gossot D, Toledo L, Fritsch S, Cèlèrier M. Thoracoscopic sym-pathectomy for upper limb hyperhidrosis: looking for the right operation. Ann Thorac Surg 1997; 64:975–978.

    Article  PubMed  CAS  Google Scholar 

  36. Herbst F, Plas EG, Függer R, Fritsch A. Endoscopic thoracic sympathectomy for primary hyperhidrosis of the upper limbs. A critical analysis and long-term results of 480 operations. Ann Surg 1994; 220:86–90.

    Article  PubMed  CAS  Google Scholar 

  37. Chou SH, Kao EL, Lin CC, et al. The importance of classification in sympathetic surgery and a proposed mechanism for compensatory hyperhidrosis: experience with 464 cases. Surg Endosc 2006; 20:1749–1753.

    Article  PubMed  Google Scholar 

  38. Lin CC, Mo LR, Lee LS, Ng SM, Hwang MH. Thoracoscopic T2-sympathetic block by clipping – a better and reversible operation for treatment of hyperhidrosis palmaris: experience with 326 cases. Eur J Surg Suppl 1998; 580:13–6.

    PubMed  Google Scholar 

  39. Lin TS, Kuo SJ, Chou MC. Uniportal endoscopic thoracic sympathectomy for treatment of palmar and axillary hyper-hidrosis: analysis of 2000 cases. Neurosurgery 2002; 51(5 Suppl):S84–S87.

    PubMed  Google Scholar 

  40. Dewey TM, Herbert MA, Hill SL, et al. One-year follow-up after thoracoscopic sympathectomy for hyperhidrosis: outcomes and consequences. Ann Thorac Surg 2006; 81:1227–1232.

    Article  PubMed  Google Scholar 

  41. Rex LO, Drott C, Claes G, et al. The Borås experience of endo-scopic thoracic sympathicotomy for palmar, axillary, facial hyperhidrosis and facial blushing. Eur J Surg Suppl 1998; 580:23–26.

    PubMed  Google Scholar 

  42. Cohen Z, Levi I, Pinsk I, Mares AJ. Thoracoscopic upper thoracic sympathectomy for primary palmar hyperhidrosis–the combined paediatric, adolescents and adult experience. Eur J Surg Suppl 1998; 580:5–8.

    PubMed  Google Scholar 

  43. Duarte JB, Kux P. Improvements in video-endoscopic sympathi-cotomy for the treatment of palmar, axillary, facial, and palmar-plantar hyperhidrosis. Eur J Surg Suppl 1998; 580:9–11.

    PubMed  Google Scholar 

  44. Chang YT, Li HP, Lee J Y, et al. Treatment of palmar hyperhidro-sis: T(4) level compared with T(3) and T(2). Ann Surg 2007; 246:330–336.

    Article  PubMed  Google Scholar 

  45. Neumayer C, Zacherl J, Holak G, et al. Limited endoscopic thoracic sympathetic block for hyperhidrosis of the upper limb: reduction of compensatory sweating by clipping T4. Surg Endosc 2004; 18:152–156.

    Article  PubMed  CAS  Google Scholar 

  46. Reisfeld R. The importance of classification in sympathetic surgery and a proposed mechanism for compensatory hyperhidrosis: experience with 464 cases. Surg Endosc 2007; 21:1249–1250.

    Article  PubMed  Google Scholar 

  47. Ribas Milanez de Campos J, Kauffman P, Wolosker N, et al. Axillary hyperhidrosis: T3/T4 versus T4 thoracic sympathec-tomy in a series of 276 cases. J Laparoendosc Adv Surg Tech A 2006; 16:598–603.

    Article  PubMed  Google Scholar 

  48. Wittmoser R. Thoracoscopic sympathectomy and vagotomy. In: Operative manual of endoscopic surgery. Cuschieri A, Buess G, Perissat J (Editors). Springer, New York. 1992.

    Google Scholar 

  49. Moya J, Ramos R, Morera R, et al. Results of high bilateral endo-scopic thoracic sympathectomy and sympatholysis in the treatment of primary hyperhidrosis: a study of 1016 procedures. Arch Bronconeumol 2006; 42:230–234.

    PubMed  CAS  Google Scholar 

  50. http://www.youtube.com/watch?v=Qf_Pvh6yJsM

  51. Klodell CT, Lobato EB, Willert JL, Gravenstein N. Oximetry-derived perfusion index for intraoperative identification of successful thoracic sympathectomy. Ann Thorac Surg 2005; 80:467–470.

    Article  PubMed  Google Scholar 

  52. Gossot D, Galetta D, Pascal A, et al. Long-term results of endo-scopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg 2003; 75:1075–1079.

    Article  PubMed  Google Scholar 

  53. de Campos JR, Kauffman P, Werebe Ede C, et al. Quality of life, before and after thoracic sympathectomy: report on 378 operated patients. Ann Thorac Surg 2003; 76:886–891.

    Article  PubMed  Google Scholar 

  54. Hashmonai M, Kopelman D. The pathophysiology of cervical and upper thoracic sympathetic surgery. Clin Auton Res 2003; 13 Suppl 1: 140–144.

    Google Scholar 

  55. Vigil L, Calaf N, Codina E, et al. Video-assisted sympathectomy for essential hyperhidrosis: effects on cardiopulmonary function. Chest 2005; 128:2702–2705.

    Article  PubMed  Google Scholar 

  56. Noppen M, Vincken W. Thoracoscopic sympathicolysis for essential hyperhidrosis: effects on pulmonary function. Eur Respir J 1996; 9:1660–1664.

    Article  PubMed  CAS  Google Scholar 

  57. Noppen M, Dab I, D'Haese J, et al. Thoracoscopic T2-T3 sym-pathicolysis for essential hyperhidrosis in childhood: effects on pulmonary function. Pediatr Pulmonol 1998; 26:262–264.

    Article  PubMed  CAS  Google Scholar 

  58. Chiou TS, Chen SC. Intermediate-term results of endoscopic transaxillary T2 sympathectomy for primary palmar hyperhidro-sis. Br J Surg 1999; 86:45–47.

    Article  PubMed  CAS  Google Scholar 

  59. Steiner Z, Kleiner O, Hershkovitz Y, et al. Compensatory sweating after thoracoscopic sympathectomy: an acceptable trade-off. J Pediatr Surg 2007; 42:1238–1242.

    Article  PubMed  Google Scholar 

  60. Lesèche G, Castier Y, Thabut G, et al. Endoscopic transthoracic sympathectomy for upper limb hyperhidrosis: limited sympath-ectomy does not reduce postoperative compensatory sweating. J Vasc Surg 2003; 37:124–128.

    Article  PubMed  Google Scholar 

  61. Licht PB, Pilegaard HK. Gustatory side effects after thoraco-scopic sympathectomy. Ann Thorac Surg 2006; 81:1043–1047.

    Article  PubMed  Google Scholar 

  62. Ojimba TA, Cameron AE. Drawbacks of endoscopic thoracic sympathectomy. Br J Surg 2004; 91:264–269.

    Article  PubMed  CAS  Google Scholar 

  63. Gossot D, Kabiri H, Caliandro R, et al. Early complications of thoracic endoscopic sympathectomy: a prospective study of 940 procedures. Ann Thorac Surg 2001; 71:1116–1119.

    Article  PubMed  CAS  Google Scholar 

  64. Imhof M, Zacherl J, Plas EG, et al. Long-term results of 45 tho-racoscopic sympathicotomies for primary hyperhidrosis in children. J Pediatr Surg 1999; 34:1839–1842.

    Article  PubMed  CAS  Google Scholar 

  65. Hehir DJ, Brady M P. Long-term results of limited thoracic sympathectomy for palmar hyperhidrosis. J Pediatr Surg 1993; 28:909–911.

    Article  PubMed  CAS  Google Scholar 

  66. Kao MC, Lee WY, Yip KM, et al. Palmar hyperhidrosis in children: treatment with video endoscopic laser sympathectomy. J Pediatr Surg 1994; 29:387–391.

    Article  PubMed  CAS  Google Scholar 

  67. Lin TS, Huang LC, Wang NP, Chang CC. Endoscopic thoracic sympathetic block by clipping for palmar and axillary hyperhidrosis in children and adolescents. Pediatr Surg Int 2001; 17:535–537.

    Article  PubMed  CAS  Google Scholar 

  68. Steiner Z, Cohen Z, Kleiner O, et al. Do children tolerate tho-racoscopic sympathectomy better than adults? Pediatr Surg Int 2008; 24:343–347.

    Article  PubMed  Google Scholar 

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Crabbe, D.C.G., Parikh, D.H. (2009). Hyperhidrosis and Thoracic Sympathectomy. In: Parikh, D.H., Crabbe, D.C.G., Auldist, A.W., Rothenberg, S.S. (eds) Pediatric Thoracic Surgery. Springer, London. https://doi.org/10.1007/b136543_48

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