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Article ; Online: Minimally Invasive Sympathicotomy for Palmar Hyperhidrosis and Facial Blushing

Michiel Kuijpers / Judith E. van Zanden / Petra W. Harms / Hubert E. Mungroop / Massimo A. Mariani / Theo J. Klinkenberg / Wobbe Bouma

Journal of Clinical Medicine, Vol 11, Iss 786, p

Current Status and the Hyperhidrosis Expert Center Approach

2022  Volume 786

Abstract: Hyperhidrosis, the medical term for excessive sweating beyond physiological need, is a condition with serious emotional and social consequences for affected patients. Symptoms usually appear in focal areas such as the feet, hands, axillae and face. Non- ... ...

Abstract Hyperhidrosis, the medical term for excessive sweating beyond physiological need, is a condition with serious emotional and social consequences for affected patients. Symptoms usually appear in focal areas such as the feet, hands, axillae and face. Non-surgical treatment options such as topical antiperspirants or systemic medications are usually offered as a first step of treatment, although these therapies are often ineffective, especially in severe and intolerable cases of hyperhidrosis. In the treatment algorithm for patients suffering from hyperhidrosis, surgical thoracoscopic sympathicotomy offers a permanent solution, which is particularly effective in the treatment of palmar hyperhidrosis and facial blushing. In this review, we describe the current status of thoracoscopic sympathicotomy for palmar hyperhidrosis and facial blushing. In addition, we share the specific treatment approach, technique and results of our Hyperhidrosis Expert Center. Last, we share recommendations to ensure an effective, reproducible and safe application of single-port thoracoscopic sympathicotomy for palmar hyperhidrosis and facial blushing, based on our extensive experience.
Keywords facial blushing ; palmar hyperhidrosis ; sympathectomy ; sympathicotomy ; endoscopic thoracic sympathectomy (ETS) ; single port video-assisted thoracoscopic surgery (VATS) ; Medicine ; R
Subject code 616
Language English
Publishing date 2022-01-01T00:00:00Z
Publisher MDPI AG
Document type Article ; Online
Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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