Transaxillary endoscopic laser sympathectomy.
The authors describe a technique of achieving sympathetic denervation of the upper limbs in a 20-year-old woman with hyperhidrosis. A thoracoscope was inserted through a short incision in the axilla. A fibreoptic wave guide was passed through the thoracoscope to allow photocoagulation of the second thoracic sympathetic ganglion by Nd:YAG laser irradiation. The procedure was well tolerated and subsequent scar formation was unobtrusive.
Austin
J J
JJ
McMaster University Clinic, Hamilton General Hospital, Ont.
Doobay
B
B
Schatz
S W
SW
D000328:Adult; D001365:Axilla; D005260:Female; D005728:Ganglia, Sympathetic; D015171:Ganglionectomy; D006229:Hand Dermatoses / Q000601:surgery*; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D008028:Light Coagulation; D013562:Sympathectomy / Q000379:methods*; D013900:Thoracic Nerves / Q000601:surgery; D013906:Thoracoscopy