Video assisted thoracoscopic re-sympathetic surgery in the treatment of re-sweating hyperhidrosis

Kim, Do Hyung; Paik, Hyo Chae; Lee, Doo Yun
May 2005
European Journal of Cardio-Thoracic Surgery;May2005, Vol. 27 Issue 5, p741
Academic Journal
Abstract: Objective: The characteristics and causes of re-sweating after sympathetic surgery in hyperhidrosis patients have yet to be clearly documented due primarily to low incidence of re-sympathetic surgery. The purpose of this study is to identify the causes of re-sweating following sympathetic surgery, and to assess the outcomes of re-sympathetic surgery. Methods: From February 1997 to July 2003, 36 patients underwent re-sympathetic surgery in order to treat re-sweating. Patients originally underwent sympathetic surgery due to facial (14 cases), palmar (21 cases), and axillary (1 case) hyperhidrosis. Results: Sympathectomy was performed as a primary surgical intervention in 7 cases (19.4%), sympathicotomy in 12 cases (33.3%), and sympathetic clipping in 17 cases (47.3%). Thirteen patients complained of re-sweating on both sides, and 23 patients exhibited unilateral re-sweating. The onset of re-sweating occurred after an average of 3.1±3.4 months (range, 1–12 months) after the operation. The causes of re-sweating after sympathetic surgery included an intact sympathetic chain in 4 cases (11.1%), incomplete resection in 6 cases (16.7%), partial reattachment in 6 cases (16.7%), improper ganglion location in 4 cases (11.1%), clip slipping out in 11 cases (30.5%), and unknown in 5 cases (13.9%). Twenty-seven patients (75.0%) exhibited re-sweating within 3 months, and 9 patients (25.0%) experienced re-sweating after 6 months. During the second operation, sympathicotomy was performed in 20 cases (55.6%) and sympathetic clipping in 16 cases (44.4%) in which 32 patients (88.9%) reported decreased sweating. Conclusions: Surgical errors during the initial operation constituted the main cause of re-sweating following sympathetic surgery. Re-sympathetic surgery was necessary in order to treat re-sweating, and was associated with favorable outcomes.


Related Articles

  • Large hepatocellular cancers: hepatic resection or liver transplantation? Søreide, O.; Czerniak, A.; Blumgart, L.H. // British Medical Journal (Clinical Research Edition);9/28/1985, Vol. 291 Issue 6499, p853 

    Examines patients with primary hepatocellular cancer. Outline of criteria for resectability in patients with large liver tumors; Extension of the traditional criteria of resectability; Preference for resection than transplantation.

  • Management of laryngeal mask airway induced hiccups using dexmedetomedine. Koteswara, Chethan Manohara; Dubey, Jitendra Kumar // Indian Journal of Anaesthesia;Jan/Feb2013, Vol. 57 Issue 1, p85 

    A letter to the editor is presented which discusses the case of a 38-year-old female patients with hypertension who underwent fibroadenoma excision under general anaesthesia.

  • Temozolomide.  // Reactions Weekly;12/1/2007, Issue 1180, p36 

    The article describes the cases of three patients who developed early-delayed radiation-induced lesions after receiving concurrent treatment with temozolomide and radiotherapy after surgery for gliomas. The first patient had a complete resection of an occipital glioblastoma, while the second...

  • Long-Term Outcome of Massive Small Bowel Resection. Miura, Seiji; Shikata, Jun-ichi; Hasebe, Masaharu; Kobayashi, Kunio // American Journal of Gastroenterology;Apr1991, Vol. 86 Issue 4, p454 

    The long-term outcome for seven patients 4-17 yr (mean 7.1 yr) after massive small bowel resection, leaving 5-160 cm (mean 86.4) of small bowel, has reviewed. Their mean age at the final enterectomy was 40 yr. Adaptation to foodstuffs and the effects of physiologic alterations and complicating...

  • Transcervical Video-Assisted Resection of Zenker's Diverticulum. Ayav, Ahmet; Bresler, Laurent; Brunaud, Laurent; Boissel, Patrick // Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2005, Vol. 15 Issue 6, p620 

    We report a novel technique for resection of symptomatic Zenker's diverticulum. Two consecutive patients underwent a transcervical video-assisted dissection and resection of Zenker's diverticular pouch. Both patients exhibited good anatomical and functional results at 10 months follow-up.

  • CONSERVATIVE SURGICAL TREATMENT IN MASSIVE GASTRODUODENAL HEMORRHAGE. Lamphier, Timothy A.; Wickman, William // American Journal of Gastroenterology;Aug1954, Vol. 22 Issue 2, p142 

    Focuses on conservative surgical treatment in massive upper gastrointestinal bleeding. Ratio of patients who hemorrhage from the upper gastrointestinal tract who can be treated medically by bed-rest; Cause of massive bleeding; Advantage of resection with exclusion of the ulcer.

  • Tuberculum and diaphragma sella meningioma — surgical technique and visual outcome in a series of 20 cases operated over a 2.5-year period. Margalit, N.; Kesler, A.; Ezer, H.; Freedman, S.; Ram, Z. // Acta Neurochirurgica;Dec2007, Vol. 149 Issue 12, p1199 

    Background. A retrospective analysis of 20 cases of tuberculum sella meningioma with emphasis on the surgical technique and visual outcome. Methods. Between 2003 and 2006 twenty patients with tuberculum and diaphragma sella meningioma were treated at the Tel Aviv medical center. There were 17...

  • Natural course of desmoid-type fibromatosis. Tomitaka Nakayama; Tadao Tsuboyama; Junya Toguchida; Taisuke Hosaka; Takashi Nakamura // Journal of Orthopaedic Science;Jan2008, Vol. 13 Issue 1, p51 

    Abstract Background  Desmoid-type fibromatosis is a locally aggressive tumor known to have high potential for local recurrence after resection, while it exhibits self-limiting behavior and shows growth arrest or spontaneous regression in many patients. Thus, its natural course is not well...

  • Hepatic Resection Combined with Portal Vein or Hepatic Artery Reconstruction for Advanced Carcinoma of the Hilar Bile Duct and Gallbladder World J. Surg. Vol. 27, No. 10, October 2003. Shimada, Hiroshi; Endo, Itaru; Sugita, Mitsutaka; Masunari, Hideki; Fujii, Yoshiro; Tanaka, Kuniya; Misuta, Koichi; Sekido, Hitoshi; Togo, Shinji // World Journal of Surgery;Oct2003, Vol. 27 Issue 10, p1137 

    Hepatectomy with vascular reconstruction for biliary malignancy remains controversial. This study aimed to clarify the indications for surgery. Patients with advanced hilar bile duct cancer (HBDC) (n = 26) and gallbladder cancer (GBC) involving the hepatoduodenal ligament (n = 13) who underwent...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics