Endoscopic transthoracic dorsal sympathectomy for the treatment of upper extremity hyperhidrosis: A new minimally invasive approach

Edoardo Raposio, Francesco Filippi, Rolf E A Nordström, PierLuigi Santi

Research output: Contribution to journalArticlepeer-review

Abstract

Palmar and axillary hyperhidrosis are best treated surgically by endoscopic transthoracic upper dorsal sympathectomy. At present, this methodology relies on (at least) double trocar insertion (per side), carbon dioxide insufflation, or both. We present a new minimally invasive endoscopic transthoracic technique, performed by a single-entry specifically modified thoracoscope and without the need for carbon dioxide insufflation, with the aim to reduce the drawbacks associated with the above-mentioned, currently adopted endoscopic technique. In our opinion, this 'single-entry' technique, compared with the other reported approaches, should theoretically minimize any damage to the intercostal neurovascular bundle, while avoiding the complications related to carbon dioxide insufflation.

Original languageEnglish
Pages (from-to)1629-1632
Number of pages4
JournalPlastic and Reconstructive Surgery
Volume102
Issue number5
DOIs
Publication statusPublished - Oct 1998

ASJC Scopus subject areas

  • Surgery

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