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1. Smidfelt K, Drott C: Late results of endoscopic thoracic sympathectomy for hyperhidrosis and facial blushing. Br J Surg; 2011 Dec;98(12):1719-24
MedlinePlus Health Information. consumer health - Endoscopy.

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Late results of endoscopic thoracic sympathectomy for hyperhidrosis and facial blushing.
  • BACKGROUND: The purpose of this study was to clarify the long-term effects, side-effects and overall satisfaction rates of endoscopic thoracic sympathectomy (ETS) used in the treatment of hyperhidrosis and facial blushing.
  • METHODS: Some 3015 patients had bilateral ETS from 1989 to 1998.
  • A questionnaire follow-up was used.
  • Some of the patients had participated in a previous follow-up study, and the answers in both surveys were compared.
  • RESULTS: A total of 1700 patients responded (56·4 per cent); mean(s.d.) follow-up was 14·6(2·4) years.
  • The best result was achieved for palmar hyperhidrosis (95·6 per cent) compared with axillary hyperhidrosis (68·9 per cent), facial hyperhidrosis (83 per cent) and facial blushing (72·8 per cent) (P < 0·001).
  • Compensatory sweating, the main side-effect, was present in 80·0 per cent.
  • Some 6·5 per cent were dissatisfied and 13·5 per cent regretted having the procedure.
  • Patients with palmar hyperhidrosis were more satisfied (86·6 per cent) than those with axillary hyperhidrosis (66·0 per cent), facial hyperhidrosis (74 per cent) or facial blushing (73·5 per cent) (P < 0·001).
  • Women were more satisfied than men (85·4 versus 71·4 per cent; P < 0·001).
  • The procedure regret rate rose from 7·8 per cent in the first survey to 13·5 per cent in the present one.
  • CONCLUSION: ETS had an excellent and lasting effect on palmar hyperhidrosis.
  • The effect on facial and axillary hyperhidrosis and facial blushing was less rewarding.
  • The procedure regret rate increased over time.
  • [MeSH-major] Blushing / physiology. Endoscopy / methods. Hyperhidrosis / surgery. Sympathectomy / methods
  • [MeSH-minor] Adult. Aged. Child. Face. Female. Follow-Up Studies. Humans. Male. Middle Aged. Patient Satisfaction. Surveys and Questionnaires. Treatment Outcome. Young Adult

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  • [Copyright] Copyright © 2011 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
  • [CommentIn] Br J Surg. 2012 May;99(5):738; author reply 738-9 [22473280.001]
  • (PMID = 21928403.001).
  • [ISSN] 1365-2168
  • [Journal-full-title] The British journal of surgery
  • [ISO-abbreviation] Br J Surg
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] England
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