Targeting the Sympathetic Chain for Primary Hyperhidrosis: An Evidence-Based Review

Joel M. Sternbach, Malcom McAvoy DeCamp Jr*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Large case series and randomized trials over the past 25 years have consistently demonstrated thoracoscopic interruption of the sympathetic chain to be a safe and effective treatment of focal primary hyperhidrosis. The surgical technique has evolved toward less-invasive and less-extensive procedures in an effort to minimize perioperative morbidity and effectively balance postoperative compensatory sweating with symptomatic relief. This review summarizes available evidence regarding the surgical approach and the optimal level of interruption of the sympathetic chain based on a patient's presenting distribution of pathologic sweating.

Original languageEnglish (US)
Pages (from-to)407-420
Number of pages14
JournalThoracic Surgery Clinics
Volume26
Issue number4
DOIs
StatePublished - Nov 1 2016

Keywords

  • Compensatory sweating
  • ETS
  • Endoscopic thoracic sympathectomy
  • Hyperhidrosis
  • Sympathetic surgery
  • Sympathicotomy
  • Sympathotomy

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine

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