Document Detail

Predicting changes in the distribution of sweating following thoracoscopic sympathectomy.
MedLine Citation:
PMID:  9448619     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Compensatory sweating is a common symptom following thoracic sympathectomy; however, the reported incidence of this complication varies greatly, and its severity has not been quantified. METHODS: In this study changes in the distribution of sweating following bilateral T2-3 thoracoscopic sympathectomy for hyperhidrosis were assessed in 42 patients. Sweat production in the palms, axillae, face, trunk and feet was assessed using a linear analogue scale. RESULTS: The operation was most successful in reducing sweat production in the palms, axillae and face (in descending order). The operation also reduced pedal sweat production in 12 of the 29 patients who suffered concomitant pedal hyperhidrosis. Compensatory truncal sweating occurred in 36 of the 42 patients; it was severe in ten, moderate in 16 and minimal in ten. CONCLUSION: Patients should be warned about compensatory sweating before thoracic sympathectomy.
B T Andrews; J A Rennie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  84     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-02-05     Completed Date:  1998-02-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1702-4     Citation Subset:  AIM; IM    
Department of Surgery, King's College Hospital, London, UK.
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MeSH Terms
Age of Onset
Follow-Up Studies
Hyperhidrosis / surgery*
Sweating / physiology*
Sympathectomy / adverse effects*,  methods
Treatment Outcome
Comment In:
Br J Surg. 1998 Apr;85(4):570   [PMID:  9607547 ]

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