[Treatment of primary hyperhidrosis of the upper limbs by transthoracic endoscopic sympathectomy].
Primary hyperhidrosis of the upper limbs has an important impact on the subject's social and psycho-affective equilibrium. These patients have two main problems. First physicians are not sufficiently aware of the therapeutic possibilities and secondly the generally poor reputation of surgery in this indication. Transthoracic endoscopic sympathectomy has completely changed the treatment of hyperhidrosis of the upper limbs. It is now considered to be the reference treatment in severe cases. The surgical procedure is simple and allows simultaneous treatment of both sides. There is no mortality and morbidity is extremely low quantitatively and of little consequence qualitatively. The therapeutic protocol is short and immediate and long-term results are excellent in 98 to 100% of the patients.
Service de Chirurgie thoracique et vasculaire, Hôpital Beaujon, Clichy.
G
G
Lesèche
J
J
Nicolet
B
B
Andreassian
D001132:Arm; D004724:Endoscopy; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D013562:Sympathectomy / Q000379:methods*; D013900:Thoracic Nerves / Q000601:surgery*
Traitement de l'hyperhidrose primitive des membres supérieurs par sympathectomie endoscopique transthoracique.