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Video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis: results in 102 cases
Authors:Alric Pierre  Branchereau Pascal  Berthet Jean-Philippe  Léger Philippe  Mary Henri  Mary-Ané Charles
Affiliation:1. Department of Anesthesiology, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Spain;2. Department of Anesthesiology, Hospital Universitario La Paz, Madrid, Spain;3. Clinica Vizcaya, Bilbao, Spain;4. Department of Anesthesiology, Hospital Universitario Fundacion Alcorcon, Madrid, Spain;5. Department of Anesthesiology, Hospital Intermutual de Levante, Valencia, Spain;1. School of Agricultural, Computational and Environmental Sciences, Australia;2. International Centre for Applied Climate Sciences (ICACS), Australia;3. Computational Engineering and Science Research Centre (CESRC), Australia;4. University of Southern Queensland, Institute of Agriculture and Environment (IAg&E), QLD, 4350, Australia;1. Department of Emergency Medicine and Neurology, Division of Neurocritical Care and Emergency Neurology, Yale University School of Medicine, 464 Congress Street, Suite 260, New Haven, CT 06519, USA;2. Division of Neurocritical Care and Emergency Neurology, Department of Neurology, Yale University School of Medicine, PO Box 208018, New Haven, CT 06520-8018, USA;3. Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA
Abstract:The purpose of this retrospective study was to evaluate the immediate and long-term outcome of video-assisted thoracoscopic sympathectomy for idiopathic palmar hyperhidrosis. Between January 1996 and December 2000, a total of 67 patients underwent 102 sympathectomy procedures with excision of the sympathetic chain between the second and fourth sympathetic ganglion. The mean duration of hospitalization was 1.7 ± 0.6 days. Five patients were lost to follow-up. Mean duration of follow-up for the 96 sympathectomy procedures in the remaining 62 patients was 38 ± 6.3 months. Patient outcome showed that video-assisted thoracoscopic sympathectomy is the treatment of choice for idiopathic palmar hyperhidrosis. Long-term patient satisfaction is excellent.
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