Case Report

Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning

Volume: 5 Number: 1 April 4, 2019

Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning

Abstract

Severe palmar and/or axillary hyperhidrosis may adversely affect the patients. Thoracoscopic sympathectomy is frequently preferred for the treatment of severe hyperhidrosis. Patient positioning in surgery may cause a number of complications. In this article, we report a male patient who developed hypoesthesia on the palmar side of the first three fingers of the left hand after thoracoscopic bilateral sympathectomy for hyperhidrosis. Nerve conduction studies revealed non-significant results. Hypoesthesia was thought to be related to hyper-abduction position of arms. This complication disappeared two months after surgery. Appropriate patient positioning may prevent these complications.

Keywords

References

  1. 1. Wohlrab J, Kreft B. Hyperhidrosis-aetiopathogenesis, diagnosis, clinical symptoms and treatment. Hautarzt 2018;69:857-69. [Abstract] 2. Hasimoto EN, Cataneo DC, Reis TAD, Cataneo AJM. Hyperhidrosis: prevalence and impact on quality of life. J Bras Pneumol 2018;44:292-8. 3. Salim EF, Ali GA. Impact of Thoracoscopic T2 sympathectomy on patients with primary palmar and axillary hyperhidrosis. Ann Thorac Surg 2018;106:1032-7. 4. Bahar R, Zhou P, Liu Y, Huang Y, Phillips A, Lee TK, et al. The prevalence of anxiety and depression in patients with or without hyperhidrosis (HH). J Am Acad Dermatol. 2016;75:1126-33. 5. Gordon A, Zechmeister K, Collin J. The role of sympathectomy in current surgical practice. Eur J Vasc Surg 1994;8:129-37. 6. Rodríguez PM, Freixinet JL, Hussein M, Valencia JM, Gil RM, Herrero J, et al. Side effects, complications and outcome of thoracoscopic sympathectomy for palmar and axillary hyperhidrosis in 406 patients. Eur J Cardiothorac Surg 2008;34:514-9. 7. Abe S, Tomita N, Yamamoto M, Sato M, Abe H, Murakami G, et al. Topographical anatomy of the pronator teres muscle and median nerve: a study using histological sections of human fetuses. Okajimas Folia Anat Jpn 2017;94:37-44. 8. Wahlig JB Jr, Welch WC, Weigel TL, Luketich JD. Microinvasive transaxillary thoracoscopic sympathectomy: technical note. Neurosurgery 2000;46:1254-7. 9. Lundborg G, Dahlin LB. Anatomy, function, and pathophysiology of peripheral nerves and nerve compression. Hand Clin 1996;12:185-93.

Details

Primary Language

English

Subjects

-

Journal Section

Case Report

Publication Date

April 4, 2019

Submission Date

December 25, 2018

Acceptance Date

February 18, 2019

Published in Issue

Year 2019 Volume: 5 Number: 1

APA
Gedik, E., & Orum, M. H. (2019). Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, 5(1), 36-38. https://izlik.org/JA96MF25FT
AMA
1.Gedik E, Orum MH. Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2019;5(1):36-38. https://izlik.org/JA96MF25FT
Chicago
Gedik, Emre, and Mehmet Hamdi Orum. 2019. “Thoracoscopic Bilateral Sympathectomy for the Treatment of Hyperhidrosis: A Complication of Patient Positioning”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 5 (1): 36-38. https://izlik.org/JA96MF25FT.
EndNote
Gedik E, Orum MH (April 1, 2019) Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 5 1 36–38.
IEEE
[1]E. Gedik and M. H. Orum, “Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning”, İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 5, no. 1, pp. 36–38, Apr. 2019, [Online]. Available: https://izlik.org/JA96MF25FT
ISNAD
Gedik, Emre - Orum, Mehmet Hamdi. “Thoracoscopic Bilateral Sympathectomy for the Treatment of Hyperhidrosis: A Complication of Patient Positioning”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 5/1 (April 1, 2019): 36-38. https://izlik.org/JA96MF25FT.
JAMA
1.Gedik E, Orum MH. Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2019;5:36–38.
MLA
Gedik, Emre, and Mehmet Hamdi Orum. “Thoracoscopic Bilateral Sympathectomy for the Treatment of Hyperhidrosis: A Complication of Patient Positioning”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 5, no. 1, Apr. 2019, pp. 36-38, https://izlik.org/JA96MF25FT.
Vancouver
1.Emre Gedik, Mehmet Hamdi Orum. Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi [Internet]. 2019 Apr. 1;5(1):36-8. Available from: https://izlik.org/JA96MF25FT