Thorascopic sympathectomy in the treatment of palmar hyperhidrosis: Anaesthetic implications

B. Fredman, D. Olsfanger, R. Jedeikin

Research output: Contribution to journalReview articlepeer-review

Abstract

As a result of technical advances, endoscopic surgery has become the technique of choice for many intra-abdominal and thoracic surgical procedures. The advantages of endoscopic surgery include less postoperative pain, shorter hospital admission, earlier return to normal activity and improved cosmetic result. Thorascopic surgery differs from other endoscopic procedures in that adequate surgical exposure requires collapse or retraction of the lung. Whether achieved by one-lung ventilation or carbon dioxide insufflation, these interventions may be associated with significant cardiorespiratory disturbances. In this review thorascopic sympathectomy in the treatment of palmar hyperhidrosis and related controversies are discussed. Special emphasis is placed on the anaesthetic considerations of this procedure. Finally, based on our clinical experience, recommendations are made regarding the anaesthetic of choice.

Original languageEnglish
Pages (from-to)113-119
Number of pages7
JournalBritish Journal of Anaesthesia
Volume79
Issue number1
DOIs
StatePublished - Jul 1997

Keywords

  • Complications, palmar hyperhidrosis
  • Surgery, endoscopy
  • Surgery, thoracic

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