Korean J Thorac Cardiovasc Surg.  1997 Oct;30(10):1001-1004.

Reoperation of Essential Hyperhidrosis

• Cho HM
• Lee DY
• Kim HK
• Moon DS

Abstract

Thoracic sympathectomy is the radical and definite treatment of palmar hyperhidrosis. From January 1992 to March 1997, 4 patients with recurrent hyperhidrosis underwent resympathectomy via VATS at the Department of General Thoracic and Cardiovacular Surgery, Young Dong Severance Hospital. There were 2 men and 2 women and mean age was 20.0 years. There were moderate to severe adhesions at previous resection site but no thoracotomies were performed. There was no sweating on palms in all cases and all patients were greatly satisfied with those results postoperatively. In conclusion, recurrent hyperhidrosis was successfully treated with resympathectomy via VATS. In order to prevent recurrence and minimize the postoperative complication, the proper localization of the 2nd sympathetic ganglion and the radical excision of anatomical variation including Kuntz fiber are needed.

Keyword

Hyperhidrosis; Reoperatism; Thoracoscopy

MeSH Terms

Female
Ganglia, Sympathetic
Humans
Hyperhidrosis*
Male
Postoperative Complications
Recurrence
Reoperation*
Sweat
Sweating
Sympathectomy
Thoracic Surgery, Video-Assisted
Thoracoscopy
Thoracotomy