RSS-Feed abonnieren
DOI: 10.1055/s-0030-1269859
© Georg Thieme Verlag KG Stuttgart · New York
Percutaneous Chemical Dorsal Sympathectomy for Hyperhidrosis
Publikationsverlauf
Publikationsdatum:
19. April 2011 (online)

Abstract
Introduction: Hyperhidrosis can be a very annoying and troublesome problem. It can interfere with the daily activities of the patient, cause psychosocial troubles, even a simple handshake can be quite a challenge. The objective of this study is to assess the safety and efficacy of a new method for chemical ablation of D2 and D3 dorsal sympathetic ganglia to control medically refractory palmar hyperhidrosis.
Patients and Methods: This study was conducted on 30 patients with refractory palmar hyperhidrosis in the period from January 2006 till January 2008 to detect the efficacy of dorsal chemical sympathectomy using absolute (97%) alcohol to make chemical lesions in the D2 and D3 sympathetic ganglia as a treatment for excessive palmar hyperhidrosis. All patients were followed up in the outpatient clinic at 1 week, 1 month, 3 months, and 1 year intervals after the procedure.
Results: The procedure was found to cause complete cessation of palmar hyperhidrosis in 27 of our 30 patients (90%) at 1 year of follow-up. No serious complications were encountered with the procedure in the perioperative or postoperative follow-up.
Conclusion: Percutaneous chemical dorsal sympathectomy is an easy, effective, and safe procedure for control of palmar hyperhidrosis.
Key words
percutaneous treatment - sympathectomy - chemical treatment - hyperhidrosis
References
- 1
Lin CL, Yen CP, Howng SL.
The long-term results of upper dorsal sympathetic ganglionectomy and endoscopic thoracic
sympathectomy for hyperhidrosis for hyperhidrosis palmaris.
Surgery Today.
1999;
9
209-213
MissingFormLabel
- 2
Ro KM, Cantor RM, Lange KL. et al .
Palmar hyperhidrosis: evidence of genetic transmission.
J Vasc Surg.
2002;
35
382-386
MissingFormLabel
- 3
Kao MC, Lin JY, Chen YL. et al .
Minimally invasive surgery: video endoscopic thoracic sympathectomy for palmar hyperhidrosis.
Ann Acad Med Singapore.
1996;
25
673-678
MissingFormLabel
- 4
Lin TS.
Transthoracic endoscopic sympathectomy in the treatment of palmar hyperhidrosis: with
emphasis on perioperative management (1360 cases analysis).
Surg Neurol.
1999;
52
453-457
MissingFormLabel
- 5
Drott C, Gothberg G, Claes G.
Endoscopic transthoracic sympathectomy: an efficient and safe method for the treatment
of hyperhidrosis.
J Am Acad Dermatol.
1995;
33
78-81
MissingFormLabel
- 6
Herbst F, Plas EG, Fugger R. et al .
Endoscopic thoracic sympathectomy for primary hyperhidrosis of the upper limbs. A
critical analysis and long-term results of 480 operations.
Ann Surg.
1994;
220
86-90
MissingFormLabel
- 7
Drott C, Gothberg G, Claes G.
Endoscopic procedures of the upper thoracic sympathetic chain.
Arch Surg.
1993;
128
237-241
MissingFormLabel
- 8
Dondelinger RF, Kurdziel JC.
Percutaneous phenol block of the upper thoracic sympathetic chain with computed tomography
guidance.
Acta Radiologica.
1987;
28
511-515
MissingFormLabel
- 9
Orteu CH, McGregor JM, Almeyda JR. et al .
Recurrence of hyperhidrosis after endoscopic transthoracic sympathectomy: case report
and review of the literature.
Clin Exp Dermatol.
1995;
20
230-233
MissingFormLabel
- 10
Lin TS.
Video-assisted thoracoscopic “resympathectomy” for palmar hyperhidrosis: analysis
of 42 cases.
Ann Thorac Surg.
2001;
72
895-898
MissingFormLabel
- 11
Quinn SF, Mortagh FR, Chatfield R. et al .
CT guided nerve root block and ablation.
Am J Roentgenol.
1988;
151
1215-2156
MissingFormLabel
- 12
Adler OB, Engel A, Rosenberger A. et al .
Palmar hyperhidrosis CT guide chemical percutaneous thoracic sympathectomy.
Röfo Fortschr Geb Röntgenstr Neuen Bildgeb Verfahr.
1990;
153
400-403
MissingFormLabel
- 13
Schneider B, Richter GM, Roeren T. et al .
CT-guided neurolysis. Status of the technique and current results.
Radiologe.
1996;
36
692-699
MissingFormLabel
- 14
Romano M, Giojelli A, Mainenti PP. et al .
Upper thoracic sympathetic chain neurolysis under CT guidance. A two year follow-up
in patients with palmar and axillary hyperhidrosis.
Radiol Med (Torino).
2002;
104
421-425
MissingFormLabel
- 15
Lee K-S, Chuang C-L, Lin C-L. et al .
Percutaneous CT-guided chemical thoracic sympathectomy for patients with palmar hyperhidrosis
after transthoracic endoscopic sympathectomy.
Surg Neurol.
2004;
62
501-505
MissingFormLabel
- 16
Lin TS, Fang HY, Wu CY.
Repeat transthoracic endoscopic sympathectomy for palmar and axillary hyperhidrosis.
Surg Endosc.
2000;
14
134-136
MissingFormLabel
- 17
Wasziers BD, Bartholomot B, Fest T. et al .
Percutaneous thoracic sympathectomy under X-ray computed tomographic control in hyperhidrosis.
Ann Med Interne (Paris).
1996;
147
299-303
MissingFormLabel
Correspondence
Dr. K. S. Ebrahim
Department of Neurosurgery
Ain Shams Faculty of Medicine
Abbasia
223366 Cairo
Egypt
Telefon: +20/2/2414 4172
Fax: +20/2/2414 4172
eMail: khaledsaeedabdelmonem@gmail.com