Endoscopic transthoracic sympathectomy

Sergey Keidar; Itzhak Vinograd

doi:10.1007/978-3-540-78387-9_22

Endoscopic transthoracic sympathectomy

Sergey Keidar, Itzhak Vinograd

Tel Aviv Sourasky Medical Center

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

Thoracscopic upper thoracic sympathectomy is a well established procedure for the treatment of primary palmer and axillary hyperhidrosis in children and adolescents. Earyl intervention before developing learning and social problems is recommended in affected children. The procedure is carried out under general anesthesia in semi-sitting position with abducted uper limbs and achieved bilaterally via single 10mm, 0 degreee endoscope with working 5mm channel. Endoscopic ablation of T2-T3 sympathetic fibers for palmar and T2-T4 for both palmar and axilliary hyperhidrosis is performed by electrocautery with Endohook. Different technical variations of the procedure exist.

Original language	English
Title of host publication	Essentials of Pediatric Endoscopic Surgery
Publisher	Springer Berlin Heidelberg
Pages	155-159
Number of pages	5
ISBN (Print)	9783540783862
DOIs	https://doi.org/10.1007/978-3-540-78387-9_22
State	Published - 2009
Externally published	Yes

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10.1007/978-3-540-78387-9_22

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AB - Thoracscopic upper thoracic sympathectomy is a well established procedure for the treatment of primary palmer and axillary hyperhidrosis in children and adolescents. Earyl intervention before developing learning and social problems is recommended in affected children. The procedure is carried out under general anesthesia in semi-sitting position with abducted uper limbs and achieved bilaterally via single 10mm, 0 degreee endoscope with working 5mm channel. Endoscopic ablation of T2-T3 sympathetic fibers for palmar and T2-T4 for both palmar and axilliary hyperhidrosis is performed by electrocautery with Endohook. Different technical variations of the procedure exist.

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Endoscopic transthoracic sympathectomy

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