Browse > Article

Ramicotomy of T2, 3 Sympathetic Ganglia for Palmar Hyperhidrosis  

조현민 (연세대학교 의과대학 영도세브란스병원 호흡기센터 흉부외과)
백효채 (연세대학교 의과대학 영도세브란스병원 호흡기센터 흉부외과)
김도형 (연세대학교 의과대학 영도세브란스병원 호흡기센터 흉부외과)
함석진 (연세대학교 의과대학 영도세브란스병원 호흡기센터 흉부외과)
이두연 (연세대학교 의과대학 영도세브란스병원 호흡기센터 흉부외과)
Publication Information
Journal of Chest Surgery / v.35, no.10, 2002 , pp. 724-729 More about this Journal
Abstract
Although variable surgical methods of sympathetic nerve for palmar hyperhidrosis are curative and safe therapeutic options, they have some limitations such as compensatory sweating and anhidrosis of hand in long term satisfaction rate. Material and Method: Therefore, we tried to decrease severity of compensatory sweating and prevent excessive dryness of hand through selective division of rami communicantes of thoracic sympathetic ganglia distributed to the hands(ramicotomy). Result: In postoperative results, about half of the patients maintained humidity of hands and most of them showed no more than mild degree of compensatory sweating. Conclusion: Therefore, ramicotomy of thoracic sympathetic ganglia can be recommended as selective and physiologic surgical method for palmar hyperhidrosis.
Keywords
Hyperhidrosis; Surgery method; Sweating;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Compensatrory hyperhidrosis of sympathectomy /
[ Shelley WB;Florence R ] / N England J Med   DOI
2 다한증 환자에서의 Clipping에 의한 Sympathetic Chain Block의 효과 /
[ 이두연;윤용한;백효채;신화균;이성수;강정신 ] / 대흉외지   과학기술학회마을
3 Anatomic variations of the T2 nerve root(including the nerve of Kuntz) and their implications for sympathectomy /
[ Chung IH;Oh CS;Koh KS;Kim HJ;Paik HC;Lee DY ] / J Thorac Cardiovasc Surg   DOI   ScienceOn
4 Gustatory facial sweating subsequent to upper thoracic sympathectomy /
[ Nesaturai S;Harvey DT;Schatz SW ] / Arch Phys Med Rehabil   DOI   ScienceOn
5 Palmar hyperhidrosis and its surgical treatment: a report of 100 cases /
[ Adar R;Kurchin A;Zweig A;Mozes M ] / Ann Surg   DOI   ScienceOn
6 Compensatory sweating: an avoidable complication of thoracoscopic sympathectomy? [Abstract] /
[ Rennie JA ] / Minimally Invas Ther Allied Technol
7 Predicting changes in the distribution of sweating following thoracoscopic sympathectomy /
[ Andrews BT;Rennie JA ] / Br J Surg   DOI   ScienceOn
8 Distribution of the sympathetic rami to the brachial plexus: its relation to sympathectomy affecting the upper extremities /
[ Kuntz A ] / Arch Surg   DOI
9 Compensatory hyperhidrosis after thoracic sympathectomy /
[ Adar R ] / Lancet   DOI   ScienceOn
10 Compensatory sweating after upper dorsal sympathectomy /
[ Adar R ] / J Neurosurg
11 Thoracoscopic sympathectomy and vagotomy /
[ Wittmoser R.;Cuschieri A(ed);Buess G(ed);Perissat J(ed) ] / Operative manual of endoscopic surgery   DOI
12 Surgical implications of lower thoracic and lumbar independent sympathetic pathways /
[ Kuntz A;Alexander WF ] / Arch Surg   DOI
13 Orientation landmarks of endoscopic transaxillary T-2 sympathectomy for palmar hyperhidrosis /
[ Chiou TSM;Liao KK ] / AJ Neurosurg   DOI   ScienceOn
14 Distribution of disturbances of sweat secretion after extirpation of certain sympathetic cervical ganglion in man /
[ Guttmanne L ] / J Anat
15 다한증 환자에서 수술방법에 따른 보상성 다한증의 비교 /
[ 이두연;윤용한;김해균;강정신;이교준;신화균 ] / 대흉외지
16 Thoracoscopic sympathectomy for upper limb hyperhidrosis : Looking for the right operation /
[ Gossort D;Toledo L;Fritsch S(et al.) ] / Ann Thorac Surg   DOI   ScienceOn