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1. Coveliers H, Atif S, Rauwerda J, Wisselink W: Endoscopic thoracic sympathectomy: long-term results for treatment of upper limb hyperhidrosis and facial blushing. Acta Chir Belg; 2011 Sep-Oct;111(5):293-7
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] Endoscopic thoracic sympathectomy: long-term results for treatment of upper limb hyperhidrosis and facial blushing.
  • BACKGROUND: Endoscopic thoracic sympthectomy (ETS) is frequently used in the management of patients with hyperhidrosis and excessive blushing.
  • Long term-follow up is scarce.
  • We retrospectively reviewed long-term morbidity, success and overall patient satisfaction rates in patients operated in our department.
  • METHOD: Data of all patients undergoing ETS for either upper limb hyperhidrosis or facial blushing and sweating between January 1994 and December 2006 were reviewed.
  • A standard questionnaire inquiring on relief of symptoms, satisfaction with the operation and occurrence of compensatory sweating (CS) was sent out in January 2008.
  • RESULTS: We performed bilateral thoracoscopic sympathectomies in 73 patients.
  • There were no operative mortalities, minor complications occurred in 22%.
  • Initial success rate was 88%.
  • Median follow up was 93 (24-168) months, response rate to the questionnaire was 85%.
  • Sixty-nine per cent of patients continued to have relief of initial symptoms, whereas patient satisfaction rate was 56%.
  • CS was present in 42 patients (68%).
  • Long-term satisfaction rates per initial indication group were 42% for facial blushing and 65% for hyperhidrosis (n.s.
  • ), and CS was present in 79% vs 61%, respectively.
  • CONCLUSION: ETS appears a safe treatment for upper limb hyperhydrosis with acceptable long-term results.
  • For excessive blushing, however, long-term satifaction rates of ETS are severely hampered by a high incidence of disturbing compensatory sweating.
  • ETS should only be indicated in patients with unbearable symptoms refractory to non-surgical treatment.
  • The patient information must include the long-term substantial risk for sever CS and regret of the procedure.
  • [MeSH-major] Endoscopy / methods. Flushing / surgery. Hyperhidrosis / surgery. Sympathectomy / methods. Thoracic Nerves / surgery
  • [MeSH-minor] Adolescent. Adult. Female. Humans. Male. Middle Aged. Patient Satisfaction. Treatment Outcome. Upper Extremity. Young Adult

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  • (PMID = 22191130.001).
  • [ISSN] 0001-5458
  • [Journal-full-title] Acta chirurgica Belgica
  • [ISO-abbreviation] Acta Chir. Belg.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Belgium
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