title: Needlescopic video-assisted thoracic surgery for reversal of thoracic sympathectomy.
abstract: Thoracic sympathectomy is a commonly performed surgical procedure for the treatment of palmar hyperhidrosis. However, one major complication of such a procedure is compensatory truncal hyperhidrosis. We describe an extreme case of compensatory truncal hyperhidrosis and anhidrosis over the head and neck region which led to a heatstroke. Bilateral reoperative needlescopic video-assisted thoracic surgery was performed for the reversal of thoracic sympathectomy with an interposition intercostal nerve graft. The patient's truncal hyperhidrosis resolved gradually over 1 month following the reversal procedure.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong, China. wonhl1@surgery.cuhk.edu.hk
authors.forename: Randolph H L
authors.initials: RH
authors.lastname: Wong
authors.forename: Calvin S H
authors.initials: CS
authors.lastname: Ng
authors.forename: Jasper K W
authors.initials: JK
authors.lastname: Wong
authors.forename: Susanna
authors.initials: S
authors.lastname: Tsang
mesh_terms: D000328:Adult; D004867:Equipment Design; D005500:Follow-Up Studies; D006225:Hand; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D008297:Male; D017060:Patient Satisfaction; D013562:Sympathectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation*; D020708:Thoracoscopes