{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T10:32:13Z","timestamp":1742380333495},"reference-count":32,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,7]]},"abstract":"\nObject<\/jats:italic><\/jats:title>\nCompensatory hyperhidrosis is a major and troublesome complication of thoracoscopic sympathectomy for primary hyperhidrosis. The incidence of compensatory hyperhidrosis has been reported to be as high as 50 to 97% in the patients who underwent sympathetic ganglia resection. In this study the authors evaluate the role of thoracoscopic T-3 sympathicotomy for primary hyperhidrosis and the prevention of compensatory hyperhidrosis.<\/jats:p>\n<\/jats:sec>\n\nMethods<\/jats:italic><\/jats:title>\nThoracoscopic T-3 sympathicotomy was performed in 27 patients with either isolated palmar hyperhidrosis (24 cases) or that in combination with axillary hyperhidrosis (three cases) during a 3-year period. In the cases of combined palmar\/axillary hyperhidrosis, the T-4 sympathetic ganglion also was coagulated. The mean follow-up period was 19.7 months. Surgery-related results were determined on the basis of complications, compensatory hyperhidrosis, and patient-related satisfaction.<\/jats:p>\nIn the immediate postoperative period all 24 patients with palmar hyperhidrosis reported complete alleviation of their symptoms. One patient with palmar\/axillary hyperhidrosis in whom axillary hyperhidrosis did not completely resolve underwent a repeated T-4 sympathicotomy 1 month after the initial surgery. Another patient suffered mild compensatory hyperhidrosis of the trunk 1 month postoperatively. The long-term satisfaction rate in all 27 patients was high. One patient required placement of a chest tube to treat pneumothorax. Other complications such as Horner syndrome, intercostal neuralgia, gustatory hyperhidrosis, and pulmonary edema were not observed.<\/jats:p>\n<\/jats:sec>\n\nConclusions<\/jats:italic><\/jats:title>\nThoracoscopic limited T-3 sympathicotomy is an effective method to treat primary hyperhidrosis, its rate of compensatory hyperhidrosis is low, and its rate of long-term patient satisfaction is high.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/spi.2003.99.1.0039","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:57:33Z","timestamp":1241711853000},"page":"39-43","source":"Crossref","is-referenced-by-count":6,"title":["Thoracoscopic limited T-3 sympathicotomy for primary hyperhidrosis: prevention for compensatory hyperhidrosis"],"prefix":"10.3171","volume":"99","author":[{"given":"Do Heum","family":"Yoon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoon","family":"Ha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong Gou","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Woo","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Surg Endosc","doi-asserted-by":"publisher","first-page":"721","DOI":"10.1007\/BF00193043","article-title":"Advantages of limited thoracoscopic sympathectomy.","volume":"10","author":"Bonjer","year":"1996"},{"key":"b2","series-title":"Surg Laparosc Endosc","first-page":"365","article-title":"Transaxillary endoscopic sympathectomy\u2014a report of experience in 150 patients with palmar hyperhidrosis.","volume":"3","author":"Chao","year":"1993"},{"key":"b3","series-title":"Br J Surg","first-page":"45","article-title":"Intermediate-term results of endoscopic transaxillary T2 sympathectomy for primary palmar hyperhidrosis.","volume":"86","author":"Chiou","year":"1999"},{"key":"b4","series-title":"Eur J Surg","first-page":"S5","article-title":"Thoracoscopic upper thoracic sympathectomy for primary palmar hyperhidrosis\u2014the combined paediatric, adolescents and adult experience.","author":"Cohen","year":"1998"},{"key":"b5","series-title":"Cardiovasc Surg","doi-asserted-by":"publisher","first-page":"788","DOI":"10.1016\/S0967-2109(96)00048-8","article-title":"Hyperhidrosis treated by thoracoscopic sympathicotomy.","volume":"4","author":"Drott","year":"1996"},{"key":"b6","series-title":"Arch Surg","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1001\/archsurg.1993.01420140114019","article-title":"Endoscopic procedures of the upper-thoracic sympathetic chain. 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