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Sympathetic nerve reconstruction for compensatory hyperhidrosis after sympathetic surgery for primary hyperhidrosis

Authors
 Seok Jin Haam  ;  Seung Yong Park  ;  Hyo Chae Paik  ;  Doo Yun Lee 
Citation
 JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.25(4) : 597-601, 2010 
Journal Title
 JOURNAL OF KOREAN MEDICAL SCIENCE 
ISSN
 1011-8934 
Issue Date
2010
MeSH
Adult ; Female ; Humans ; Hyperhidrosis/surgery* ; Intercostal Nerves/anatomy & histology ; Intercostal Nerves/surgery ; Male ; Middle Aged ; Patient Satisfaction ; Quality of Life ; Reconstructive Surgical Procedures/methods* ; Surveys and Questionnaires ; Sympathetic Nervous System/anatomy & histology ; Sympathetic Nervous System/surgery* ; Treatment Outcome ; Young Adult
Keywords
Hyperhidrosis ; Nerve Transfer ; Sympathetic Nerve ; Thoracoscopy
Abstract
We performed sympathetic nerve reconstruction using intercostal nerve in patients with severe compensatory hyperhidrosis after sympathetic surgery for primary hyperhidrosis, and analyzed the surgical results. From February 2004 to August 2007, sympathetic nerve reconstruction using intercostal nerve was performed in 19 patients. The subjected patients presented severe compensatory hyperhidrosis after thoracoscopic sympathetic surgery for primary hyperhidrosis. Reconstruction of sympathetic nerve was performed by thoracoscopic surgery except in 1 patient with severe pleural adhesion. The median interval between the initial sympathetic surgery and sympathetic nerve reconstruction was 47.2 (range: 3.5-110.7) months. Compensatory sweating after the reconstruction surgery improved in 9 patients, and 3 out of them had markedly improved symptoms. Sympathetic nerve reconstruction using intercostal nerve may be one of the useful surgical options for severe compensatory hyperhidrosis following sympathetic surgery for primary hyperhidrosis.
Files in This Item:
T201001521.pdf Download
DOI
10.3346/jkms.2010.25.4.597
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Paik, Hyo Chae(백효채) ORCID logo https://orcid.org/0000-0001-9309-8235
Lee, Doo Yun(이두연)
Haam, Seok Jin(함석진)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101087
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