The History of Sympathetic Surgery.
At present, primary hyperhidrosis is the main indication for sympathectomy. For upper thoracic sympathetic ablation, excision of the second thoracic ganglion alone or with the first and/or third ganglia was the standard during the open surgery era. With the advent of thoracoscopy, modifications related to the level, extent, and type of ablation were proposed to attenuate compensatory hyperhidrosis. The ideal operation for sympathetic denervation of the face and upper limbs remain to be defined. Controlled double-blind studies with quantitave measurements of sweat production are required.
Department of Surgery, Rambam Medical Center & Faculty of Medicine, Technion - Israel Institute of Technology, PO Box 359, Zikhron Ya'akov, Haifa 3095202, Israel. Electronic address: hasmonai@inter.net.il.
Moshe
M
Hashmonai
D001118:Argentina; D005060:Europe; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D006945:Hyperhidrosis / Q000266:history* / Q000601:surgery; D013562:Sympathectomy / Q000266:history* / Q000379:methods; D013564:Sympathetic Nervous System / Q000033:anatomy & histology / Q000502:physiology / Q000601:surgery; D013906:Thoracoscopy / Q000266:history / Q000379:methods; D014481:United States
History; Hyperhidrosis; Sympathetic anatomy; Sympathetic physiology; Sympathetic surgery