title: Subxiphoid single-incision thoracoscopic bilateral ablative sympathectomy for hyperhidrosis.
abstract: We describe the first case of severe palmar hyperhidrosis treated with single-incision subxiphoid thoracoscopic ablative sympathectomy, bilaterally, at T3 level. The single-incision subxiphoid thoracoscopic approach required only a 2-cm incision in the upper abdomen. In addition, the technique does not cause postoperative intercostal neuropathy and postoperative pain is minimal as the intercostal space is bypassed. Total operative time was ∼60 min and the volume of blood loss was 10 ml. The patient was discharged from the hospital the next day with complete remission of her symptoms. Excess palmar sweating released after operation and there was no compensatory sweating after a 6-month follow-up.
authors.affiliation: Division of Urology, Department of Surgery, Changhua Christian Hospital, Changhua City, Taiwan.
authors.forename: Jian-Ting
authors.initials: JT
authors.lastname: Chen
authors.affiliation: Department of Surgery, Changhua Christian Hospital, Changhua City, Taiwan.
authors.forename: Chih-Pin
authors.initials: CP
authors.lastname: Liao
authors.affiliation: Division of Urology, Department of Surgery, Changhua Christian Hospital, Changhua City, Taiwan.
authors.forename: Heng-Chieh
authors.initials: HC
authors.lastname: Chiang
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital and Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan 156283@cch.org.tw.
authors.forename: Bing-Yen
authors.initials: BY
authors.lastname: Wang
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D006945:Hyperhidrosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D061646:Operative Time; D012720:Severity of Illness Index; D013546:Sweating; D013562:Sympathectomy / Q000379:methods*; D013906:Thoracoscopy; D013997:Time Factors; D016896:Treatment Outcome
keywords: Single incision; Subxiphoid; Sympathectomy; Thoracoscopic