Korean J Thorac Cardiovasc Surg.  1998 Feb;31(2):203-207.

Retroperitoneal endoscopic lumbar sympathectomy: 2 cases report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Anam Hospital, Korea University Medical Center, Seoul, Korea.
  • 2Department of Thoracic and Cardiovascular Surgery, Pundang Cha General Hospital, Collge of Medicine, Pochon Cha University, Korea.

Abstract

We have experienced 2 patients who underwent retroperitoneal endoscopic lumbar sympathectomy (RELS) for bilateral plantar hyperhidrosis. They had underwent thoracic sympathectomy by thoracoscopy 20 months and 1 month ago, respectively. The first patient had to be converted to the open procedure due to pneumoperitonium and she was reoperated due to continous sweating by the incomplete sympathectomy on right side. At follow-up after 70 and 30 days postoperatively, RELS results were graded as excellent, good, fair, or poor. The first patient was very satisfied as "Excellent" and the second was slightly less satisfied as "Good" with compensatory hyperhidrosis at perianal area. This RELS is a feasible procedure to plantar hyperhydrosis patients with less pain, minimal scar, short period of convalescence, and short hospital stay.

Keyword

Sympathectomy; hyperhidrosis; Surgery method

MeSH Terms

Cicatrix
Convalescence
Follow-Up Studies
Humans
Hyperhidrosis
Length of Stay
Sweat
Sweating
Sympathectomy*
Thoracoscopy
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