The Society of Thoracic Surgeons expert consensus for the surgical treatment of hyperhidrosis.

摘要: Significant controversies surround the optimal treatment of primary hyperhidrosis hands, axillae, feet, and face. The world's literature on from 1991 to 2009 was obtained through PubMed. There were 1,097 published articles, which 102 clinical trials. Twelve randomized trials 90 nonrandomized comparative studies. After review discussion by task force members Society Thoracic Surgeons' General Workforce, expert consensus reached specific strategies are suggested. These studies suggest that extremities, axillae or face is best treated endoscopic thoracic sympathectomy (ETS). Interruption sympathetic chain can be achieved either electrocautery clipping. An international nomenclature should adopted refers rib levels (R) instead vertebral level at nerve interrupted, how along with systematic pre postoperative assessments sweating pattern, intensity quality-of-life. recent body suggests highest success rates occur when interruption performed top R3 R4 for palmar-only hyperhidrosis. may offer a lower incidence compensatory but moister hands. For palmar axillary, palmar, axillary pedal axillary-only interruptions R5 recommended. craniofacial