{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T07:06:56Z","timestamp":1781075216165,"version":"3.54.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2011,9,16]],"date-time":"2011-09-16T00:00:00Z","timestamp":1316131200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100009735","name":"Alice Swenzon Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009735","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,10,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The purpose of this study was to clarify the long-term effects, side-effects and overall satisfaction rates of endoscopic thoracic sympathectomy (ETS) used in the treatment of hyperhidrosis and facial blushing.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Some 3015 patients had bilateral ETS from 1989 to 1998. A questionnaire follow-up was used. Some of the patients had participated in a previous follow-up study, and the answers in both surveys were compared.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 1700 patients responded (56\u00b74 per cent); mean(s.d.) follow-up was 14\u00b76(2\u00b74) years. The best result was achieved for palmar hyperhidrosis (95\u00b76 per cent) compared with axillary hyperhidrosis (68\u00b79 per cent), facial hyperhidrosis (83 per cent) and facial blushing (72\u00b78 per cent) (P &amp;lt; 0\u00b7001). Compensatory sweating, the main side-effect, was present in 80\u00b70 per cent. Some 6\u00b75 per cent were dissatisfied and 13\u00b75 per cent regretted having the procedure. Patients with palmar hyperhidrosis were more satisfied (86\u00b76 per cent) than those with axillary hyperhidrosis (66\u00b70 per cent), facial hyperhidrosis (74 per cent) or facial blushing (73\u00b75 per cent) (P &amp;lt; 0\u00b7001). Women were more satisfied than men (85\u00b74 versus 71\u00b74 per cent; P &amp;lt; 0\u00b7001). The procedure regret rate rose from 7\u00b78 per cent in the first survey to 13\u00b75 per cent in the present one.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>ETS had an excellent and lasting effect on palmar hyperhidrosis. The effect on facial and axillary hyperhidrosis and facial blushing was less rewarding. The procedure regret rate increased over time.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.7682","type":"journal-article","created":{"date-parts":[[2011,9,16]],"date-time":"2011-09-16T14:43:19Z","timestamp":1316184199000},"page":"1719-1724","source":"Crossref","is-referenced-by-count":47,"title":["Late results of endoscopic thoracic sympathectomy for hyperhidrosis and facial blushing"],"prefix":"10.1093","volume":"98","author":[{"given":"K","family":"Smidfelt","sequence":"first","affiliation":[{"name":"Department of Surgery, Bor\u00e5s Hospital, Bor\u00e5s, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Drott","sequence":"additional","affiliation":[{"name":"Department of Surgery, Bor\u00e5s Hospital, Bor\u00e5s, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2011,9,16]]},"reference":[{"key":"2021070906421069200_bib1","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1016\/S0003-4975(03)00895-6","article-title":"Quality of life, before and after sympathectomy: report on 378 operated patients","volume":"76","author":"de Campos","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"2021070906421069200_bib2","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1002\/bjs.5304","article-title":"Improved quality of life after sympathetic block for upper limb hyperhidrosis","volume":"93","author":"Panhofer","year":"2006","journal-title":"Br J Surg"},{"key":"2021070906421069200_bib3","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/00000658-197707000-00006","article-title":"Palmar hyperhidrosis and its surgical treatment: a report of 100 cases","volume":"186","author":"Adar","year":"1977","journal-title":"Ann Surg"},{"key":"2021070906421069200_bib4","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.jaad.2003.12.040","article-title":"US prevalence of hyperhidrosis and impact on individuals with axillary hyperhidrosis: results from a national survey","volume":"51","author":"Strutton","year":"2004","journal-title":"J Am Acad Dermatol"},{"key":"2021070906421069200_bib5","first-page":"2212","article-title":"Epidemiological survey of primary palmar hyperhidrosis in adolescents","volume":"120","author":"Li","year":"2007","journal-title":"Chin Med J"},{"key":"2021070906421069200_bib6","first-page":"1766","article-title":"Long-term effects after surgery for hand sweating and facial blushing. 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