{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:23:22Z","timestamp":1761128602207},"reference-count":11,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2007,8,9]],"date-time":"2007-08-09T00:00:00Z","timestamp":1186617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2007,8,9]],"date-time":"2007-08-09T00:00:00Z","timestamp":1186617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2007,8,9]],"date-time":"2007-08-09T00:00:00Z","timestamp":1186617600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Upper dorsal sympathectomy is the only successful therapeutic method for idiopathic palmar hyperhidrosis (IPHH). However, the techniques for sympathetic ablation are still debated. The aim of this study was to compare prospectively two accepted methods for endoscopic sympathetic ablation: resection of T2\u2010T3 ganglia versus transection of the chain over the second to fourth ribs. During the period September 2000 to June 2002, a total of 32 patients with IPHH were operated on. Operations were performed under general anesthesia through two 5\u2010mm trocars using electrocautery. Resection was done on one side and transection on the other, with both sides being addressed during the same operation. The sides of resection\/transection were alternated at each operation. There were 14\u00a0men and 18 women aged 18.8 \u00b1 4.7 years. The mean operating times for sympathectomy were 12.0 \u00b1 3.1\u00a0minutes for resection and 6.6 \u00b1 1.9\u00a0minutes for transection (<jats:italic>p<\/jats:italic> = 1.38). All patients were examined at 2 weeks postoperatively and again at 1\u00a0month. During November\u2013December 2005, patients were approached by telephone questionnaire, the mean follow\u2010up period being 4.3 \u00b1 0.9 years. Altogether, 26 of the 32 patients could be located (15 women, 11\u00a0men). There was no significant difference with regards to perioperative complications, immediate or long\u2010term pain. All but two hands were warm and dry 1\u00a0month after operation and remained so at follow\u2010up. The exceptions included one hand with recurrent hyperhidrosis after 1.5 years and one that became less dry and cold at 3 years. Both were on the transected sides. Our results suggest that sympathetic resection may achieve slightly better long\u2010term results than transection in patients with IPHH. Large\u2010scale prospective studies are needed to confirm these results.<\/jats:p>","DOI":"10.1007\/s00268-007-9160-x","type":"journal-article","created":{"date-parts":[[2007,8,8]],"date-time":"2007-08-08T16:04:36Z","timestamp":1186589076000},"page":"1976-1979","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Thoracoscopic Sympathectomy for Primary Palmar Hyperhidrosis: Resection Versus Transection\u2014A Prospective Trial"],"prefix":"10.1002","volume":"31","author":[{"given":"Ahmad","family":"Assalia","sequence":"first","affiliation":[{"name":"Department of Surgery B, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine Technion, Israel Institute of Technology Haifa Israel"},{"name":"Department of Surgery B Rambam Health Care Campus, Bat Galim PO Box 9602 31096 Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hany","family":"Bahouth","sequence":"additional","affiliation":[{"name":"Department of Surgery B, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine Technion, Israel Institute of Technology Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anat","family":"Ilivitzki","sequence":"additional","affiliation":[{"name":"Department of Surgery B, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine Technion, Israel Institute of Technology Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaki","family":"Assi","sequence":"additional","affiliation":[{"name":"Department of Surgery B, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine Technion, Israel Institute of Technology Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moshe","family":"Hashmonai","sequence":"additional","affiliation":[{"name":"Department of Surgery B, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine Technion, Israel Institute of Technology Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael M.","family":"Krausz","sequence":"additional","affiliation":[{"name":"Department of Surgery B, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine Technion, Israel Institute of Technology Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,8,9]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.03.012"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005950050047"},{"key":"e_1_2_6_4_2","first-page":"13","article-title":"Thoracoscopic versus open supraclavicular upper dorsal sympathectomy: a prospective randomized trial","volume":"572","author":"Hashmonai M","year":"1993","journal-title":"Eur J Surg Suppl"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004640080042"},{"key":"e_1_2_6_6_2","first-page":"365","article-title":"Transaxillary endoscopic sympathectomy: a report of experience in 150 patients with palmar hyperhidrosis","volume":"3","author":"Chao C","year":"1993","journal-title":"Surg Laparosc 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