{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T13:44:57Z","timestamp":1781617497500,"version":"3.54.5"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[1996,12,1]],"date-time":"1996-12-01T00:00:00Z","timestamp":849398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovascular Surgery"],"published-print":{"date-parts":[[1996,12]]},"abstract":"<jats:p>Hyperhidrosis of the palms, axillae and face has a strong negative impact on social and professional life. The existing non-operative therapeutic options seldom give sufficient relief and have a transient effect. A definitive cure can be obtained by upper thoracic sympathectomy. The traditional open surgical techniques are major procedures and few patients and surgeons have found that the risk\u2014benefit consideration favoured surgery. Since 1987, the authors have divided the upper thoracic sympathetic chain on 1163 patients with a simple endoscopic technique by using standard urological equipment. A bilateral procedure takes less than 20 min and requires just one night in hospital. There have been no mortality or life-threatening complications. Ten patients (&lt; 1%) required intercostal drainage because of haemo- or pneumothorax. Horner's syndrome occurred in four cases. Primary failure occurred in 23 cases (&lt;2%) and 24 (&lt;2%) developed recurrent symptoms. The patients with failure and recurrence were successfully reoperated on and only three have required a third operation. At the end of postoperative follow-up (median 31 months) 98% of the patients were satisfied. Endoscopic transthoracic sympathicotomy is an efficient, safe and minimally invasive surgical method for the treatment of palmar, axillary and facial hyperhidrosis.<\/jats:p>","DOI":"10.1177\/096721099600400620","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T17:36:40Z","timestamp":1727199400000},"page":"788-790","source":"Crossref","is-referenced-by-count":15,"title":["Hyperhidrosis Treated by Thoracoscopic Sympathicotomy"],"prefix":"10.1177","volume":"4","author":[{"given":"C.","family":"Drott","sequence":"first","affiliation":[{"name":"Department of Surgery, Bor\u00e5s Hospital, S 501 82 Bor\u00e5s, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Claes","sequence":"additional","affiliation":[{"name":"Department of Surgery, Bor\u00e5s Hospital, S 501 82 Bor\u00e5s, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1996,12]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197707000-00006"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.3109\/02844319309080288"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1985.tb01289.x"},{"key":"e_1_2_1_5_2","first-page":"111","article-title":"Resection partielle de trone sympathetique cervical droit pour hyperhidrose unilaterale","volume":"40","author":"Kotzareff A.","year":"1920","unstructured":"Kotzareff A. Resection partielle de trone sympathetique cervical droit pour hyperhidrose unilaterale. Rev Med Suisse Romande 1920; 40: 111\u201313.","journal-title":"Rev Med Suisse Romande"},{"key":"e_1_2_1_6_2","first-page":"651","article-title":"A new muscle splitting incision for resection of the upper thoracic sympathetic ganglia","volume":"56","author":"White JC","year":"1933","unstructured":"White JC, Smithwick RH, Allen AW, Mixter WJ. A new muscle splitting incision for resection of the upper thoracic sympathetic ganglia. Surg Gynecol Obstet 1933; 56: 651\u20137.","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(34)90743-1"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800239022"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(54)91306-9"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1966.01320200087014"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1969.30.5.0545"},{"key":"e_1_2_1_12_2","first-page":"115","volume-title":"Operative Techniques in Vascular Surgery.","author":"Roos DB","year":"1980","unstructured":"Roos DB. Transaxillary extrapleural thoracic sympathectomy. In: Bergan JJ, Yao JST, eds. Operative Techniques in Vascular Surgery. New York: Grune & Stratton, 1980: 115."},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/003591574203500903"},{"key":"e_1_2_1_14_2","volume-title":"Thorakoskopische eingriffe am Nervensystem.","author":"Kux E.","year":"1954","unstructured":"Kux E. Thorakoskopische eingriffe am Nervensystem. Stuttgart: Georg Thieme Verlag 1954."},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1993.01420140114019"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(93)90961-G"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800800717"},{"key":"e_1_2_1_18_2","first-page":"47","article-title":"The punch and purse-string suture technique","volume":"572","author":"Liljestrand J.","year":"1994","unstructured":"Liljestrand J. The punch and purse-string suture technique. Eur J Surg 1994; 572 (suppl.): 47\u201350.","journal-title":"Eur J Surg"},{"key":"e_1_2_1_19_2","first-page":"65","article-title":"Cardiac effects of endoscopic electrocautery of the upper thoracic sympathetic chain","volume":"572","author":"Drott C","year":"1994","unstructured":"Drott C, Claes G, G\u00f6thberg G, Paszkowski P. Cardiac effects of endoscopic electrocautery of the upper thoracic sympathetic chain. Eur J Surg 1994; 572 (suppl.): 65\u201370.","journal-title":"Eur J Surg"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1942.01220010148011"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1927.01130240044003"},{"key":"e_1_2_1_22_2","first-page":"17","article-title":"Present and future trends in thoracoscopic sympathectomy","volume":"572","author":"Hederman WP","year":"1994","unstructured":"Hederman WP. Present and future trends in thoracoscopic sympathectomy. Eur J Surg 1994; 572 (suppl.): 17\u201319.","journal-title":"Eur J Surg"}],"container-title":["Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/096721099600400620","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/096721099600400620","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T19:10:39Z","timestamp":1767640239000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/096721099600400620"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,12]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1996,12]]}},"alternative-id":["10.1177\/096721099600400620"],"URL":"https:\/\/doi.org\/10.1177\/096721099600400620","relation":{},"ISSN":["0967-2109"],"issn-type":[{"value":"0967-2109","type":"print"}],"subject":[],"published":{"date-parts":[[1996,12]]}}}