Thoracoscopic sympathectomy for hyperhidrosis palmaris: a periareolar approach.

Kesler, K A; Brooks-Brunn, J A; Campbell, R L; Brown, J W · Ann Thorac Surg · 2000

case_series · Level IV

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Abstract

Severe hyperhidrosis palmaris represents a disabling problem for many patients. Thoracoscopic techniques that involve dissection and removal of the upper thoracic sympathetic chain are believed to result in the lowest incidence of recurrent symptoms. However, aside from an axillary incision, an additional upper anterior chest wall approach is usually required. Over the past 2 years, we have used a periareolar incision in eight patients to improve postoperative cosmesis for this benign condition.

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