Reversibility of Sympathectomy for Primary Hyperhidrosis.

Abstract:

:Endoscopic thoracic sympathectomy (ETS) is an effective treatment of primary hyperhidrosis of the face, upper extremities, and axillae. The major limitation is the side effect of compensatory sweating severe enough that patients request reversal in up to 10% of cases. When ETS is performed by cutting the sympathetic chain, reversal requires nerve grafting. However, for ETS done with clips, reversal is a simple thoracoscopic outpatient procedure of removing the clips. Subsequent reversal of the sympathectomy, ie, nerve regeneration, is successful in many cases. However, follow-up is short. Factors contributing to success rates require further study.

journal_name

Thorac Surg Clin

journal_title

Thoracic surgery clinics

authors

Hynes CF,Marshall MB

doi

10.1016/j.thorsurg.2016.06.006

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

421-426

issue

4

eissn

1547-4127

issn

1558-5069

pii

S1547-4127(16)30027-5

journal_volume

26

pub_type

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