Summary
111 sections of high thoracic sympathectomies in 60 cases suffering from primary palmar hyperhidrosis are reported. Surgical results and postoperative complications are discussed in detail. Complications were few in number and were of a transitory nature. No mortality occurred in our series. Various surgical and nonsurgical procedures of treatment are reviewed. Surgical intervention remains the treatment of ehoice in essential idiopathic hyperhidrosis.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Adar R, Kurchin A, Zweig A, Mozes M (1977) Palmar hyperhidrosis and its surgical treatment. Ann Surg 186: 34–41
Adson AW, Brown GE (1932) Extreme hyperhidrosis of the hands and feet treated by sympathetic ganglionectomy. Proc Staff Meet Mayo Clinic 7: 394–396
Adson AW (1934) Changes in technique of cervico-thoracic ganglionectomy and trunk resection. Am J Surg 23: 287–288
Adson AW, Craig WU, Brown GE (1935) Essential hyperhidrosis cured by sympathetic ganglionectomy and trunk resection. Arch Surg 31: 794–806
Atkins MJB (1954) Sympathectomy by the axillary approach. Lancet 1: 538–539.
Braeucker W (1928) Innervation der Schweißdrüsen und die chirurgische Behandlung der Hyperhidrosis. Arch Klin Chir 149: 718–755
Cloward RB (1969) Hyperhidrosis. J Neurosurg 30: 545–551
Haxton HA (1948) Treatment of hyperhidrosis. Br Med J 1: 636–638
Jackson JH (1876) On epilepsies and on the after effects of epileptic discharges. West Reading Reports 6: 266–309
Kotzareff A (1920) Resection partielle du tronc sympathique cervical droit pour hyperidroses unilaterale (regions faciale, cervicale, thoracique et branchiale droits). Rev Med Suisse Rom 40: 111–113
Kux E (1954) Thorakoskopische Eingriffe am Nervensystem. Thieme, Stuttgart (cited by Wittmoser)
Leriche R, Frieh P (1934) Hyperhidrose Extremement Prononcée des Mains et des Pieds. Lyon Chir 31: 86
Love JG, Juergens LJ (1964) Second thoracic sympathetic ganglionectomy for neurologic and vascular disturbances of the upper extremities. West J Surg Obstet Gynec 72: 130–133
Pearl FL, Shapiro NA (1935) Ganglionectomy for hyperhidrosis. Ann Surg 102: 16–21
Shih CJ, Wang YC (1978) Thoracic sympathectomy for palmar hyperhidrosis. Report of 457 cases. Surg Neurol 10: 291–296
Smithwick RH (1936) Modified dorsal sympathectomy for vascular spasm (Raynaud's disease) of the upper extremeties. A preliminary report. Ann Surg 104: 339–350
Smithwick RH (1940) The problem of producing complete and lasting sympathetic denervation of the upper extremities by preganglionic section. Ann Surg 112: 1085–1100
Telford ED (1935) Technique of sympathectomy. Br J Surg 23: 448–450
Telford ED (1938) Sympathetic denervation of the upper extremity. Lancet 1: 70–72
White JC, Smithwick RH, Allen AW, Mixter WJ (1933) A new muscle splitting incision for resection of the upper thoracic sympathetic ganglion. Surg Gynec Obstet 56: 651–657
White JC, Smithwick RH, Simeone FA (1952) The autonomic nervous system, 3rd ed, Macmillan Co., New York, p 569
Wilkinson HA (1984) Percutaneous radiofrequency upper thoracic sympathectomy: A new technique. Neurosurg 15: 6: 811–814
Wittmoser R (1985) In: Symposium on pathological blushing and sweating Acta Neurochir (Wien) 74: 148–157
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gruszkiewicz, J., Doron, Y., Guilburd, J.N. et al. Hyperhidrosis and its surgical treatment. Acta neurochir 81, 128–131 (1986). https://doi.org/10.1007/BF01401234
Issue Date:
DOI: https://doi.org/10.1007/BF01401234