title: Different outcomes between two sides after bilateral sympathetic ganglion interruption for hyperhidrosis.
abstract: BACKGROUND
  Although the determination of the correct ganglion under direct vision through thoracoscopy by an experienced surgeon is almost unerring, there is still a 4.3% rate of clipping at the unintended level.
  
  
  METHODS
  Through the review of the most recent patients (N = 117) with various sympathetic disorders undergoing thoracoscopic sympathetic interruption over different ganglions by clipping, we found that 5 cases were clipped at the unplanned level. The immediate manifestations were the different outcomes between both sides of the face, trunk, and extremities. The postoperative chest radiographs demonstrated the error.
  
  
  RESULTS
  All patients received a second operation in which the unintended clip was removed, and a new one was applied to the appropriate ganglion. The results were satisfactory.
  
  
  CONCLUSIONS
  Although the authors in this study have the experience of more than 1000 cases of hyperhidrosis, such an error is still inevitable. Luckily, by using the clipping method, the error is detectable and amendable.
authors.affiliation: Department of Surgery, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
authors.forename: Shah-Hwa
authors.initials: SH
authors.lastname: Chou
authors.forename: Eing-Long
authors.initials: EL
authors.lastname: Kao
authors.forename: Chien-Chih
authors.initials: CC
authors.lastname: Lin
authors.forename: Meei-Feng
authors.initials: MF
authors.lastname: Huang
mesh_terms: D003714:Denervation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D005728:Ganglia, Sympathetic / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D006945:Hyperhidrosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology / Q000517:prevention & control*; D012086:Reoperation / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013525:Surgical Instruments / Q000009:adverse effects / Q000592:standards* / Q000706:statistics & numerical data; D035423:Thoracic Cavity / Q000033:anatomy & histology / Q000601:surgery; D013906:Thoracoscopy / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D016896:Treatment Outcome