caa a22 4500 475781368 CHVBK 20180406123645.0 cr unu---uuuuu 170329e20000201xx s 000 0 eng 10.1007/s004649900084 doi (NATIONALLICENCE)springer-10.1007/s004649900084 Repeat transthoracic endoscopic sympathectomy for palmar and axillary hyperhidrosis [Elektronische Daten] [T. Lin, H. Fang, C. Wu] Background: Patients undergoing an unsuccessful sympathectomy experience dryness on one hand and excessive sweating on the other. This is embarrassing for the patients, and resolution of both a previous failed sympathectomy and recurrent hyperhidrosis is important. Methods: From September 1995 to January 1998, 24 patients (11 men and 13 women; mean age, 28.2 years) underwent repeat transthoracic sympathectomy (TES). The repeat TES was performed with patients under general anesthesia using either a standard single-lumen endotracheal tube (12 patients) or a double-lumen endotracheal tube (12 patients). Ablation of T2 and T3 ganglia and any Kuntz fiber was performed in treating patients with palmar hyperhidrosis, and a similar procedure was performed on T3 and T4 ganglia for patients with axillary hyperhidrosis. Results: The reasons for failure of the previous TES were pleural adhesion (14/24), intact T2 ganglion (5/24), aberrant venous arch drainage to the superior vena cava (2/24), incomplete interruption of sympathectic nerve (2/24), and possible reinnervation (1/24). The mean operation time was 28 min (range, 18-72 min). In all, 23 patients had a satisfactory result, without recurrence of palmar or axillary hyperhidrosis. The mean follow-up time was 22 months (range, 5-30 months). The average hospital stay was 1.8 days. There was no surgical mortality. Conclusion: Repeat TES is a safe and effective method for treating both an unsuccessful sympathectomy and recurrent palmar or axillary hyperhidrosis. Springer-Verlag New York Inc., 2000 Key words: Hyperhidrosis — Repeat sympathectomy nationallicence Lin T. General Thoracic Surgery, Changhua Christian Hospital, No. 135, Nan-Siau Street, Changhua City, Taiwan, ROC and Chung Shan Medical and Dental College, Taichung, Taiwan, ROC, Taiwan aut Fang H. General Thoracic Surgery, Changhua Christian Hospital, No. 135, Nan-Siau Street, Changhua City, Taiwan, ROC and Chung Shan Medical and Dental College, Taichung, Taiwan, ROC, Taiwan aut Wu C. General Thoracic Surgery, Changhua Christian Hospital, No. 135, Nan-Siau Street, Changhua City, Taiwan, ROC and Chung Shan Medical and Dental College, Taichung, Taiwan, ROC, Taiwan aut Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 134-136 0930-2794 14:2<134 2000 14 464 https://doi.org/10.1007/s004649900084 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900084 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lin T. General Thoracic Surgery, Changhua Christian Hospital, No. 135, Nan-Siau Street, Changhua City, Taiwan, ROC and Chung Shan Medical and Dental College, Taichung, Taiwan, ROC, Taiwan aut NATIONALLICENCE 700 1- Fang H. General Thoracic Surgery, Changhua Christian Hospital, No. 135, Nan-Siau Street, Changhua City, Taiwan, ROC and Chung Shan Medical and Dental College, Taichung, Taiwan, ROC, Taiwan aut NATIONALLICENCE 700 1- Wu C. General Thoracic Surgery, Changhua Christian Hospital, No. 135, Nan-Siau Street, Changhua City, Taiwan, ROC and Chung Shan Medical and Dental College, Taichung, Taiwan, ROC, Taiwan aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 134-136 0930-2794 14:2<134 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer