{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T01:16:58Z","timestamp":1773796618213,"version":"3.50.1"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[1990,9,1]],"date-time":"1990-09-01T00:00:00Z","timestamp":652147200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Endoscopic transthoracic electrocautery of the sympathetic chain has been the preferred treatment for palmar or axillary hyperhidrosis in this unit since 1980. A retrospective study was carried out of the first 112 patients with case material derived from a postal questionnaire, chart review and outpatient assessment. Eighty-five patients undergoing bilateral transthoracic electrocautery who replied to the questionnaire (76 per cent response rate) form the basis of this study. There were 65 females and 20 males with a mean age of 24\u00b73 years (range 15\u201340 years). The hands alone were affected in 20 patients (24 per cent), the axillae alone in 17 (20 per cent) and both areas in 48 (56 per cent). Mean hospital stay was 3\u00b71 days (range 1\u20137 days). Outcome was assessed by 92 per cent of patients immediately after operation as \u2018very much improved\u2019 or \u2018moderately improved\u2019, and this assessment persisted in 85 per cent after a mean follow-up of 43 months (range 3\u201395 months). Cosmetic results were rated as satisfactory by 95 per cent. Apart from pain after operation, morbidity was limited to transient Homer's syndrome in three patients, surgical emphysema in three, and pneumothorax requiring a chest drain in one. A repeat procedure was needed in one patient because of an inadequate first operation. Some compensatory hyperhidrosis occurred in 54 (64 per cent) patients. As a minimally invasive procedure, endoscopic transthoracic electrocautery should be considered the treatment of choice for palmar and axillary hyperhidrosis.<\/jats:p>","DOI":"10.1002\/bjs.1800770931","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T14:53:42Z","timestamp":1172933622000},"page":"1046-1049","source":"Crossref","is-referenced-by-count":194,"title":["Endoscopic transthoracic electrocautery of the sympathetic chain for palmar and axillary hyperhidrosis"],"prefix":"10.1093","volume":"77","author":[{"given":"J","family":"Byrne","sequence":"first","affiliation":[{"name":"Department of Surgery, Mater Misericordiae Hospital , Dublin,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T N","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mater Misericordiae Hospital , Dublin,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W P","family":"Hederman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mater Misericordiae Hospital , Dublin,","place":["Ireland"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,9,1]]},"reference":[{"key":"2024092809031445800_bib1","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/00000658-197707000-00006","article-title":"Palmar hyperhidrosis and its surgical treatment","volume":"186","author":"Adar","year":"1977","journal-title":"Ann Surg"},{"key":"2024092809031445800_bib2","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1136\/bmj.296.6633.1345","article-title":"Treating hyperhidrosis","volume":"296","author":"Simpson","year":"1988","journal-title":"Br Med J"},{"key":"2024092809031445800_bib3","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1111\/j.1365-2133.1980.tb06583.x","article-title":"Use of biofeedback in treating chronic hyperhidrosis: a preliminary report","volume":"103","author":"Duller","year":"1980","journal-title":"Br J Dermatol"},{"key":"2024092809031445800_bib4","first-page":"195","article-title":"Tap water iontophoresis in palmo-plantar hyperhidrosis","volume":"96","author":"Shrivastave","year":"1977","journal-title":"Br J Dermatol"},{"key":"2024092809031445800_bib5","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1111\/j.1365-2133.1986.tb02854.x","article-title":"A new device for the treatment of hyperhidrosis by iontophoresis","volume":"114","author":"Midtgaard","year":"1986","journal-title":"Br J Dermatol"},{"key":"2024092809031445800_bib6","first-page":"295","article-title":"Axillary hyperhidrosis: surgical cure with aesthetic scars","volume":"61","author":"Breach","year":"1979","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092809031445800_bib7","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1002\/bjs.1800640812","article-title":"Surgical management of hyperhidrosis","volume":"64","author":"Keaveny","year":"1977","journal-title":"Br J Surg"},{"key":"2024092809031445800_bib8","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1002\/bjs.1800239022","article-title":"The technique of sympathectomy","volume":"23","author":"Telford","year":"1935","journal-title":"Br J Surg"},{"key":"2024092809031445800_bib9","first-page":"394","article-title":"Extreme hyperhidrosis of the hands and feet treated by sympathetic ganglionectomy","volume":"7","author":"Adson","year":"1932","journal-title":"Mayo Clin Proc"},{"key":"2024092809031445800_bib10","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1016\/S0140-6736(49)91167-8","article-title":"Peraxillary approach to the stellate and upper thoracic sympathetic ganglion","volume":"ii","author":"Atkins","year":"1949","journal-title":"Lancet"},{"key":"2024092809031445800_bib11","volume-title":"Thorakoskopische Eingriffe am Nervensystem","author":"Kux","year":"1954"},{"key":"2024092809031445800_bib12","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1002\/bjs.1800740745","article-title":"Upper dorsal sympathectomy for palmar hyperhidrosis","volume":"74","author":"Conlon","year":"1987","journal-title":"Br J Surg"},{"key":"2024092809031445800_bib13","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1001\/archsurg.1983.01390090049011","article-title":"The surgical treatment of primary hyperhidrosis","volume":"118","author":"Bogokowsky","year":"1983","journal-title":"Arch Surg"},{"key":"2024092809031445800_bib14","first-page":"424","article-title":"Compensatory sweating after upper dorsal sympathectomy","volume":"51","author":"Adar","year":"1979","journal-title":"J Neurosurg"},{"key":"2024092809031445800_bib15","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1007\/BF01657682","article-title":"Tranaxillary thoracic sympathectomy for primary hyperhidrosis of the upper limbs","volume":"6","author":"Sternberg","year":"1982","journal-title":"World J Surg"},{"key":"2024092809031445800_bib16","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1001\/archsurg.1978.01370150036005","article-title":"Thoracic endoscopic sympathectomy in palmar and axillary hyperhidrosis","volume":"113","author":"Kux","year":"1978","journal-title":"Arch Surg"},{"key":"2024092809031445800_bib17","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1136\/bmj.1.5744.332","article-title":"Role of sympathectomy for hyperhidrosis","volume":"1","author":"Greenhalgh","year":"1971","journal-title":"Br Med J"},{"key":"2024092809031445800_bib18","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/bjs.1800218103","article-title":"Sympathectomy as an experiment in human physiology (Hunterian lecture)","volume":"21","author":"Ross","year":"1933","journal-title":"Br J Surg"},{"key":"2024092809031445800_bib19","first-page":"537","article-title":"Distribution of disturbances of sweat secretion after extirpation of certain sympathetic cervical ganglia in man","volume":"74","author":"Guttmann","year":"1940","journal-title":"J Anal"},{"key":"2024092809031445800_bib20","first-page":"290","volume-title":"Sympathectomy; An Anatomical and Physiological Study with Clinical Applications","author":"Monro","year":"1959"},{"key":"2024092809031445800_bib21","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1056\/NEJM196011242632105","article-title":"Compensatory hyperhidrosis after sympathectomy","volume":"263","author":"Shelley","year":"1960","journal-title":"NEJM"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800770931","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/77\/9\/1046\/59393038\/bjs1800770931.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/77\/9\/1046\/59393038\/bjs1800770931.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T09:03:23Z","timestamp":1727514203000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/77\/9\/1046\/6172694"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,9,1]]},"references-count":21,"journal-issue":{"issue":"9","published-online":{"date-parts":[[1990,9,1]]},"published-print":{"date-parts":[[1990,9,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800770931","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1990,9]]},"published":{"date-parts":[[1990,9,1]]}}}