Minimally Invasive Sympathicotomy for Palmar Hyperhidrosis and Facial Blushing: Current Status and the Hyperhidrosis Expert Center Approach

Michiel Kuijpers*, Judith E. van Zanden, Petra W. Harms, Hubert E. Mungroop, Massimo A. Mariani, Theo J. Klinkenberg, Wobbe Bouma

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

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Abstract

Hyperhidrosis, the medical term for excessive sweating beyond physiological need, is a condition with serious emotional and social consequences for affected patients. Symptoms usually appear in focal areas such as the feet, hands, axillae and face. Non-surgical treatment options such as topical antiperspirants or systemic medications are usually offered as a first step of treatment, although these therapies are often ineffective, especially in severe and intolerable cases of hyperhidrosis. In the treatment algorithm for patients suffering from hyperhidrosis, surgical thoracoscopic sympathicotomy offers a permanent solution, which is particularly effective in the treatment of palmar hyperhidrosis and facial blushing. In this review, we describe the current status of thoracoscopic sympathicotomy for palmar hyperhidrosis and facial blushing. In addition, we share the specific treatment approach, technique and results of our Hyperhidrosis Expert Center. Last, we share recommendations to ensure an effective, reproducible and safe application of single-port thoracoscopic sympathicotomy for palmar hyperhidrosis and facial blushing, based on our extensive experience.

Original languageEnglish
Article number786
Number of pages10
JournalJournal of Clinical Medicine
Volume11
Issue number3
DOIs
Publication statusPublished - Feb-2022

Keywords

  • facial blushing
  • palmar hyperhidrosis
  • sympathectomy
  • sympathicotomy
  • endoscopic thoracic sympathectomy (ETS)
  • single port video-assisted thoracoscopic surgery (VATS)
  • minimally invasive surgery
  • ENDOSCOPIC TRANSTHORACIC SYMPATHECTOMY
  • THORACOSCOPIC SYMPATHECTOMY
  • THORACIC SYMPATHECTOMY
  • SURGICAL-TREATMENT
  • SOCIAL PHOBIA
  • AXILLARY HYPERHIDROSIS
  • MANAGEMENT
  • PATIENT
  • FEAR
  • ELECTROCAUTERY

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