Reoperation is usually successful. Arrive at the hospital on time. Different authors including ourselves, Karapolat et al. This review concluded that there is no evidence from controlled studies of the effectiveness of endoscopic thoracic sympathectomy, and that the procedure is associated with severe immediate complications in some patients and persistent adverse effects for many. Extreme facial blushing - Sympathectomy is also considered for people suffering from extreme facial blushing, which makes the patient uncomfortable in social settings. These patients frequently present severe tachyarrhythmia, syncope, and sudden death.
One adverse effect from sympathectomy is gustatory sudoresis. It was practically restricted to some patients with hyperhidrosis who accepted to take risks of surgery with relatively frequent side effects, such as Claude-Bernard-Horner syndrome, an aesthetically unpleasant situation, particularly in females. If it is effective, this technique can be repeated, together with physical therapy to recover functionality of the limb. It may diminish over time, or the patient may learn to live with it. They concluded that G4 may be superior to G3 in patients with palmar symptoms.
Transthoracic endoscopic T-2, 3 sympathectomy for facial hyperhidrosis.
Endoscopic thoracic sympathectomy. Core Techniques in Operative Neurosurgery. Skin colour also changes. J Vis Surg ; Obese patients should not to be operated on.
Another risk factor for CH is a high body mass index. Despite the small number of studies available, the meta-analysis has shown that for palmar, lower sections of the sympathetic chain are as effective as high ones for symptoms control or remission but display lower rates of compensatory sweating. The inserted tools are then retracted and the lung is inflated back before the incisions are closed with sutures. Even in children, VATS has been used in daily practice, apparently with the same safety and good results as adults. Figure 2 Compensatory sweating evolution.