Thoracoscopic sympathectomy for hyperhidrosis palmaris: a periareolar approach.
Severe hyperhidrosis palmaris represents a disabling problem for many patients. Thoracoscopic techniques that involve dissection and removal of the upper thoracic sympathetic chain are believed to result in the lowest incidence of recurrent symptoms. However, aside from an axillary incision, an additional upper anterior chest wall approach is usually required. Over the past 2 years, we have used a periareolar incision in eight patients to improve postoperative cosmesis for this benign condition.
Department of Surgery, Indiana University School of Medicine, Indianapolis 46202, USA. kkesler@iupui.edu
K A
KA
Kesler
J A
JA
Brooks-Brunn
R L
RL
Campbell
J W
JW
Brown
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006225:Hand; D006801:Humans; D006945:Hyperhidrosis / Q000628:therapy*; D008297:Male; D009558:Nipples; D013562:Sympathectomy / Q000379:methods*; D013906:Thoracoscopy