Expanded level of sympathetic chain removal does not increase the incidence or severity of compensatory hyperhidrosis after endoscopic thoracic sympathectomy

Tyler M Gunn; Diane M Davis; James E Speicher; Nicholas P Rossi; Kalpaj R Parekh; William R Lynch; Mark D Iannettoni

doi:10.1016/j.jtcvs.2014.06.080

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Expanded level of sympathetic chain removal does not increase the incidence or severity of compensatory hyperhidrosis after endoscopic thoracic sympathectomy

Journal article

Open access

Peer reviewed

Expanded level of sympathetic chain removal does not increase the incidence or severity of compensatory hyperhidrosis after endoscopic thoracic sympathectomy

Tyler M Gunn, Diane M Davis, James E Speicher, Nicholas P Rossi, Kalpaj R Parekh, William R Lynch and Mark D Iannettoni

The Journal of thoracic and cardiovascular surgery, Vol.148(6), pp.2673-2676

12/2014

DOI: 10.1016/j.jtcvs.2014.06.080

PMCID: PMC4369919

PMID: 25131173

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Abstract

Compensatory hyperhidrosis is a common devastating adverse effect after endoscopic thoracic sympathectomy for patients undergoing surgical treatment of primary hyperhidrosis. We sought to determine whether a correlation existed in our patient population between the level and extent of sympathetic chain resection and the subsequent development of compensatory hyperhidrosis. All patients undergoing endoscopic thoracic sympathectomy in the T2-T3, T2-T4, T2-T5, or T2-T6 levels for palmar or axillary hyperhidrosis at the University of Iowa Hospital and Clinics (n = 97) from January 2004 to January 2013 were retrospectively reviewed. Differences in the preoperative patient characteristics were not statistically significant among the patients receiving T2-T3, T2-T4, T2-T5, or T2-T6 level resections. Of the 97 included patients, 28 (29%) experienced transient compensatory hyperhidrosis and 4 (4%) complained of severe compensatory hyperhidrosis and required additional treatment. No operative mortalities occurred, and the morbidity was similar among the groups. Most patients had successful outcomes after undergoing extensive resection without changes in the incidence of compensatory hyperhidrosis. Therefore, we recommend performing complete and adequate resection for relief of symptoms in patients with primary hyperhidrosis.

Severity of Illness Index

Recurrence

Sweating

Humans

Middle Aged

Hospitals, University

Thoracoscopy - adverse effects

Male

Treatment Outcome

Hyperhidrosis - epidemiology

Incidence

Young Adult

Hyperhidrosis - physiopathology

Time Factors

Sympathectomy - methods

Adolescent

Sympathectomy - adverse effects

Adult

Female

Iowa - epidemiology

Aged

Hyperhidrosis - surgery

Retrospective Studies

Hyperhidrosis - diagnosis

Details

Title: Subtitle: Expanded level of sympathetic chain removal does not increase the incidence or severity of compensatory hyperhidrosis after endoscopic thoracic sympathectomy
Creators: Tyler M Gunn - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
Diane M Davis - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
James E Speicher - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
Nicholas P Rossi - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
Kalpaj R Parekh - Department of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
William R Lynch - Section of Thoracic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich
Mark D Iannettoni - Department of Cardiovascular Sciences, East Carolina Heart Institute, East Carolina University, Brody School of Medicine, Greenville, NC. Electronic address: Iannettonim@ecu.edu
Resource Type: Journal article
Publication Details: The Journal of thoracic and cardiovascular surgery, Vol.148(6), pp.2673-2676
Publisher: United States
DOI: 10.1016/j.jtcvs.2014.06.080
PMID: 25131173
PMCID: PMC4369919
ISSN: 0022-5223
eISSN: 1097-685X
Grant note: K08 HL114725 / NHLBI NIH HHS
Language: English
Date published: 12/2014
Academic Unit: Anatomy and Cell Biology; Surgery; Cardiothoracic Surgery
Record Identifier: 9984025337702771

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11 Times Cited - Web of Science