First Rib Resection and Thoracoscopic Cervical Sympathectomy

Mohammad Bashir; Joss Dean Fernandez; Kalpaj Parekh; Mark Iannettoni

doi:10.1007/978-1-4471-2912-7_20

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Book chapter

First Rib Resection and Thoracoscopic Cervical Sympathectomy

Mohammad Bashir, Joss Dean Fernandez, Kalpaj Parekh and Mark Iannettoni

Vascular Surgery, pp.289-300

New Techniques in Surgery Series, Springer London

10/15/2012

DOI: 10.1007/978-1-4471-2912-7_20

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Abstract

Idiopathic hyperhidrosis (excessive sweating) is a common benign condition that may cause a patient significant social, emotional, and professional distress. By definition, hyperhidrosis is the secretion of sweat in amounts greater than physiologically needed for thermoregulation. Diagnosis consists of focal, visible, excessive sweating of at least 6 months duration without apparent cause with at least two of the following criteria: Bilateral and relatively symmetricImpairs daily activitiesAt least one episode per weekOnset before age 25Family history of idiopathic hyperhidrosisFocal sweating stops during sleep Hyperhidrosis is commonly localized to the palm, soles, and axillae. Palmar hyperhidrosis may result in social embarrassment and may affect the patient’s ability to handle equipment that requires a gripping. There is evidence for a genetic component to hyperhidrosis. Eccrine glands are innervated by the sympathetic nervous system. In patients with idiopathic hyperhidrosis, the sweat glands are normal. The cause of hyperhidrosis appears to be an exaggerated central response to normal emotional stress. The differential of sweating is broad but includes infectious causes, lymphoma, autonomic dysreflexia, hyperthyroidism, carcinoid syndrome, pheochromocytoma, and perimenopausal hot flashes. These should be considered especially if symptoms occur at night or are associated with flushing.

Complications

Rib resection

Surgery

Sympathectomy

Vascular surgery

Details

Title: Subtitle: First Rib Resection and Thoracoscopic Cervical Sympathectomy
Creators: Mohammad Bashir - University of Iowa
Joss Dean Fernandez - University of Iowa Hospitals and Clinics
Kalpaj Parekh - University of Iowa Hospitals and Clinics
Mark Iannettoni - University of Iowa Hospitals and Clinics
Resource Type: Book chapter
Publication Details: Vascular Surgery, pp.289-300
Series: New Techniques in Surgery Series
DOI: 10.1007/978-1-4471-2912-7_20
Publisher: Springer London; London
Language: English
Date published: 10/15/2012
Academic Unit: Anatomy and Cell Biology; Cardiothoracic Surgery
Record Identifier: 9984284349302771

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