Intercostal Nerve Reconstruction for Severe Compensatory Hyperhidrosis: The Gebitekin Technique.

Gebitekin, Cengiz; Melek, Huseyin; Cetinkaya, Gamze; Ozer, Erhan; Yenturk, Eylem; Sevinç, Tolga Evrim; Bayram, Ahmet Sami · Ann Thorac Surg · 2021

other · Level V

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Abstract

Compensatory sweating (CS) is the most common and disabling complication of endoscopic thoracic sympathectomy and represents an unmet clinical challenge. Our surgical hypothesis is to generate a parallel pathway to the damaged part of the sympathetic nerve, similar to the Kuntz nerve, by reconstructing the 2 healthy intercostal nerves, thus treating CS. Here, we present a novel videothoracoscopic technique involving bilateral intercostal nerve reconstruction in patients with severe CS after endoscopic thoracic sympathectomy.

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