Reoperation of Essential Hyperhidrosis.
- Author:
Hyun Min CHO
1
;
Doo Yun LEE
;
Hae Kyoon KIM
;
Dong Seok MOON
Author Information
1. Department of General Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Yongdong Severance Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Hyperhidrosis;
Reoperatism;
Thoracoscopy
- MeSH:
Female;
Ganglia, Sympathetic;
Humans;
Hyperhidrosis*;
Male;
Postoperative Complications;
Recurrence;
Reoperation*;
Sweat;
Sweating;
Sympathectomy;
Thoracic Surgery, Video-Assisted;
Thoracoscopy;
Thoracotomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(10):1001-1004
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Thoracic sympathectomy is the radical and definite treatment of palmar hyperhidrosis. From January 1992 to March 1997, 4 patients with recurrent hyperhidrosis underwent resympathectomy via VATS at the Department of General Thoracic and Cardiovacular Surgery, Young Dong Severance Hospital. There were 2 men and 2 women and mean age was 20.0 years. There were moderate to severe adhesions at previous resection site but no thoracotomies were performed. There was no sweating on palms in all cases and all patients were greatly satisfied with those results postoperatively. In conclusion, recurrent hyperhidrosis was successfully treated with resympathectomy via VATS. In order to prevent recurrence and minimize the postoperative complication, the proper localization of the 2nd sympathetic ganglion and the radical excision of anatomical variation including Kuntz fiber are needed.
