• Interact Cardiovasc Thorac Surg · Mar 2012

    Case Reports

    Needlescopic video-assisted thoracic surgery for reversal of thoracic sympathectomy.

    • Randolph H L Wong, Calvin S H Ng, Jasper K W Wong, and Susanna Tsang.
    • Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong, China. wonhl1@surgery.cuhk.edu.hk
    • Interact Cardiovasc Thorac Surg. 2012 Mar 1;14(3):350-2.

    AbstractThoracic sympathectomy is a commonly performed surgical procedure for the treatment of palmar hyperhidrosis. However, one major complication of such a procedure is compensatory truncal hyperhidrosis. We describe an extreme case of compensatory truncal hyperhidrosis and anhidrosis over the head and neck region which led to a heatstroke. Bilateral reoperative needlescopic video-assisted thoracic surgery was performed for the reversal of thoracic sympathectomy with an interposition intercostal nerve graft. The patient's truncal hyperhidrosis resolved gradually over 1 month following the reversal procedure.

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