Endoscopic thoracic sympathectomy (ETS) surgery is a highly effective treatment of primary hyperhidrosis (PH) for the palms, face, axillae. Compensatory sweating (CS) is the most common and feared side effect of thoracic sympathectomy. CS is a phenomenon characterized by increased sweating in sites distal to the level of sympathectomy. Compensatory sweating is the main problem for which many patients give up surgery, losing the chance to solve their problem and accepting a poor quality of life. There are still no treatments that offer reliable solutions for compensatory sweating. The treatments proposed in the literature are scarce, with low case histories, and with uncertain results. Factors associated with CS are extension of manipulation of the sympathetic chain, level of sympathetic denervation, and body mass index. Therapeutic options include non surgical treatment and surgical treatment. Non surgical treatments include topical agents, botulinum toxin, systemic anticholinergics, iontophoresis. Surgical treatments include clip removal, extended sympathectomy and sympathetic chain reconstruction, although the efficacy is not well-established for all the methods. In this review we provide an overview of the treatments and outcomes described in the literature for the management of compensatory CS, with focus on surgical treatment.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10073509 | PMC |
| http://dx.doi.org/10.3389/fsurg.2023.1160827 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Comparing Compensatory Sweating After Video-Assisted Thoracoscopic Sympathectomy: (T2-3) Versus (T2-4) Levels for Treating Palmar Hyperhidrosis.
Cureus
November 2024
Department of Cardiothoracic Surgery, Alexandria University, Alexandria, EGY.
Introduction: Primary hyperhidrosis is a disease that is characterized by excessive sweating beyond what is required to maintain the normal temperature of the body. Moreover, it has a great adverse effect on the life of the affected persons because of problems in their social lives. There are different modalities to treat primary hyperhidrosis, including medical and surgical treatment.
View Article and Find Full Text PDFCongenital insensitivity to pain with anhidrosis (CIPA) is a rare autosomal recessive disorder because of NTRK1 gene mutations, leading to an inability to perceive pain and temperature and lack of sweating. Its rarity and unique clinical challenges, such as severe injuries from the inability to sense pain, make reporting cases critical. A 5-year-old boy, the third child of consanguineous parents, was referred for a fractured femur.
View Article and Find Full Text PDFThe effects of sympathectomy ganglion levels on late complications in the treatment of hyperhidrosis.
J Minim Access Surg
November 2024
Department of Thoracic Surgery, Trakya University Faculty of Medicine, Edirne, Turkey.
Article Synopsis
- Primary hyperhidrosis is a condition marked by excessive sweating in specific areas (like palms and armpits) and is most common in adolescents and young adults, affecting both genders equally.
- * A study analyzed 150 patients who underwent thoracoscopic thoracic sympathectomy for hyperhidrosis, with the procedure performed on two different groups, revealing a high success rate of 92%.
- * The research found low rates of major complications and an overall patient satisfaction rate of 87.3%, though 52% experienced compensatory hyperhidrosis post-surgery.
Repeated Shifts in Sociality Are Associated With Fine-tuning of Highly Conserved and Lineage-Specific Enhancers in a Socially Flexible Bee.
Mol Biol Evol
November 2024
Department of Ecology and Evolutionary Biology, Lewis-Sigler Institute for Integrative Genomics, Princeton University, Princeton, NJ 08544, USA.
Comparative genomic studies of social insects suggest that changes in gene regulation are associated with evolutionary transitions in social behavior, but the activity of predicted regulatory regions has not been tested empirically. We used self-transcribing active regulatory region sequencing, a high-throughput enhancer discovery tool, to identify and measure the activity of enhancers in the socially variable sweat bee, Lasioglossum albipes. We identified over 36,000 enhancers in the L.
View Article and Find Full Text PDFSexual effects and long-term outcomes of endoscopic lumbar sympathectomy for plantar hyperhidrosis in men: a cross-sectional study.
J Vasc Bras
September 2024
Hospital Nossa Senhora das Graças - HNSG, Curitiba, PR, Brasil.
Article Synopsis
- Plantar hyperhidrosis (PHH) significantly affects psychosocial well-being, and endoscopic lumbar sympathectomy (ELS) is considered the best treatment option, despite concerns about compensatory sweating and sexual effects, especially in men.
- A study involving male patients who underwent ELS from 2014-2022 assessed the long-term effectiveness of the procedure and any postoperative side effects through remote interviews and standardized questionnaires.
- Results showed that 80% of patients achieved significant sweat reduction, with most reporting minimal issues related to compensatory sweating and no cases of erectile dysfunction, leading to improved quality of life and overall satisfaction with the surgery.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!