Sympathectomy, endoscopic transthoracic

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

ETS

Definition
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Operative dissection of individual ganglia of the sympathetic nervous system for the treatment of hyperhidrosis axillaris, erythrophobia, hyperhidrosis pedum et manuum and endangiitis obliterans.

General definition
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  • Minimally invasive procedure through several smaller incisions in the armpit.
  • The operation is performed under general anaesthesia.
  • High recurrence rate postoperatively in approx. 65% of the treated patients.
  • Short hospital stay: in general, patients can leave the hospital after a few days.

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Complication(s)
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  • Horner's syndrome (after injury of the upper ganglion)
  • Recurrent paresis (paralysis of the vocal chords due to damage of the recurrent nerve to the vocal fold with hoarseness)
  • Pleural effusion.

Note(s)
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Regular occurrence of compensatory sweating (e.g. increased sweating at the integument while reducing sweating of the arms).

Literature
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  1. Lowe NJ et al (2007) Botulinum toxin type A in the treatment of primary axillary hyperhidrosis: a 52-week multicenter double-blind, randomized, placebo-controlled study of efficacy and safety. J Am Acad Dermatol 56: 604-611

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Last updated on: 29.10.2020