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Hyperhidrosis, An Issue of Thoracic Surgery Clinics of North America, E-Book

Hyperhidrosis, An Issue of Thoracic Surgery Clinics of North America, E-Book

Peter B. Licht

(2016)

Additional Information

Book Details

Abstract

This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Peter Licht, is devoted to Management of Hyperhidrosis. Dr. Licht has assembled expert authors to review the following topics: History of Sympathetic Surgery; Pathophysiology of Hyperhidrosis; Emerging Nonsurgical Treatments for Hyperhidrosis; Selecting the Right Patient for Surgical Treatment of Hyperhidrosis; Targeting the Sympathetic Chain for Primary Hyperhidrosis: An Evidence-Based Review; Reversibility of Clipping for Primary Hyperhidrosis; Robotic Sympathectomy; Reconstruction of the Sympathetic Chain; Quality of Life Changes Following Surgery for Hyperhidrosis; Management of Compensatory Sweating after Sympathetic Surgery; Less Common Side Effects Following Sympathetic Surgery; Facial Blushing: Patient Selection and Long Term Results; Management of Plantar Hyperhidrosis; and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Hyperhidrosis\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents v
Preface: Hyperhidrosis v
The History of Sympathetic Surgery v
Pathophysiology of Hyperhidrosis v
Emerging Nonsurgical Treatments for Hyperhidrosis v
Selecting the Right Patient for Surgical Treatment of Hyperhidrosis v
Targeting the Sympathetic Chain for Primary Hyperhidrosis: An Evidence-Based Review vi
Reversibility of Sympathectomy for Primary Hyperhidrosis vi
Reconstruction of the Sympathetic Chain vi
Quality of Life Changes Following Surgery for Hyperhidrosis vi
Management of Compensatory Sweating After Sympathetic Surgery vii
Less Common Side Effects of Sympathetic Surgery vii
Facial Blushing: Patient Selection and Long-Term Results vii
Management of Plantar Hyperhidrosis with Endoscopic Lumbar Sympathectomy vii
THORACIC SURGERY CLINICS\r viii
FORTHCOMING ISSUES viii
February 2017 viii
May 2017 viii
August 2017 viii
RECENT ISSUES viii
August 2016 viii
May 2016 viii
February 2016 viii
Preface: Hyperhidrosis\r ix
The History of Sympathetic Surgery 383
Key points 383
ANATOMY AND FUNCTION 383
OPERATIONS AND INDICATIONS 384
METHODS OF SYMPATHETIC ABLATION 384
THE EFFECT OF THE THORACOSCOPIC APPROACH ON SYMPATHETIC SURGERY 385
Methods of Ablation 385
Level and Extent of Ablation 385
Techniques of Access 385
SUMMARY 386
REFERENCES 386
Pathophysiology of Hyperhidrosis 389
Key points 389
THERMAL REGULATION 389
HYPERHIDROSIS 390
DIAGNOSING HYPERHIDROSIS 390
PATHOPHYSIOLOGY OF HYPERHIDROSIS 391
REFERENCES 392
Emerging Nonsurgical Treatments for Hyperhidrosis 395
Key points 395
INTRODUCTION 395
CHEMODENERVATION 396
TAP WATER IONTOPHORESIS THERAPY 396
MICROWAVE ENERGY THERMOLYSIS 397
EXTERNALLY APPLIED ULTRASOUND THERAPY 398
LASER THERAPY 399
1064-nm, 1320-nm, and 1440-nm Neodymium-doped Yttrium Aluminium Garnet Laser 399
924-nm and 975-nm Diode Laser 399
Long-pulsed 800-nm Diode Laser 400
TOPICAL ANTICHOLINERGICS 400
SUMMARY 401
REFERENCES 401
Selecting the Right Patient for Surgical Treatment of Hyperhidrosis 403
Key points 403
INTRODUCTION 403
PALMAR HYPERHIDROSIS 403
Overview 403
Clinical Assessment 403
Contraindications 404
Preoperative Assessment 404
Summary 404
PALMAR AND AXILLARY SWEATING 404
Overview 404
ISOLATED AXILLARY SWEATING 404
Nonsurgical Treatment 404
Local Axillary Surgery 405
Role of Endoscopic Thoracic Sympathectomy 405
PLANTAR HYPERHIDROSIS 405
Types 405
Treatment 405
CRANIOFACIAL SWEATING 405
Clinical Aspects 405
Sympathectomy 405
Caution 405
SUMMARY 405
REFERENCES 406
Targeting the Sympathetic Chain for Primary Hyperhidrosis 407
Key points 407
INTRODUCTION 407
NOMENCLATURE 408
COMPENSATORY HYPERHIDROSIS 408
ANATOMY OF THE SYMPATHETIC CHAIN 409
Nerves of Kuntz 410
ANATOMIC VARIATIONS AND SURGICAL PITFALLS 410
Azygos Lobe 410
Superior Intercostal Vein 410
Fascia Overlying the Longus Colli Muscle 410
OPERATIVE TECHNIQUE 410
METHOD OF INTERRUPTION 411
Instrumentation 411
Clipping 411
Sympathectomy Versus Sympathotomy 412
Ramicotomy 412
LEVEL OF SYMPATHICOTOMY BASED ON SYMPTOMS 412
Palmar 412
Axillary 415
Craniofacial 415
MECHANISMS OF FAILURE 416
REINTERVENTION 416
SUMMARY 417
REFERENCES 417
Reversibility of Sympathectomy for Primary Hyperhidrosis 421
Key points 421
INTRODUCTION 421
CLINICAL DATA 422
HISTOLOGY 423
DISCUSSION 424
REFERENCES 425
Reconstruction of the Sympathetic Chain 427
Key points 427
NERVE RECONSTRUCTION 427
NERVE REGENERATION 428
EXPERIMENTAL SYMPATHETIC NERVE GRAFT RECONSTRUCTION 428
CLINICAL EXPERIENCE WITH SYMPATHETIC NERVE RECONSTRUCTION 428
SYMPATHETIC NERVE RECONSTRUCTION 429
Preoperative Planning 429
Plan for Reconstruction 429
Preparation and Patient Positioning 430
Port Placement 430
The Robot Is then Docked 431
RESULTS 431
SUMMARY 433
ACKNOWLEDGMENTS 433
SUPPLEMENTARY DATA 433
REFERENCES 433
Quality of Life Changes Following Surgery for Hyperhidrosis 435
Key points 435
INTRODUCTION 435
QUALITY OF LIFE AND HYPERHIDROSIS 436
QUALITY OF LIFE EVALUATION IN HYPERHIDROSIS 436
SPECIFIC QUALITY OF LIFE QUESTIONNAIRE FOR HYPERHIDROSIS: OUR EXPERIENCE 437
RESULTS IN POSTOPERATIVE QUALITY OF LIFE 438
30 Days of Follow-up 438
5 Years of Follow-up 439
10 Years of Follow-up 439
IMPACT OF COMPENSATORY HYPERHIDROSIS IN QUALITY OF LIFE AFTER SURGERY 439
SUMMARY 441
REFERENCES 441
Appendix 1. APPENDIX 1 QUALITY OF LIFE FULL QUESTIONNAIRE 442
Management of Compensatory Sweating After Sympathetic Surgery 445
Key points 445
INTRODUCTION 445
PATHOPHYSIOLOGY 446
CLASSIFICATION 446
PROPHYLAXIS 447
TREATMENT 448
Nonpharmacologic Treatment 448
Pharmacologic Treatment 448
Topical agents 448
Botulinum toxin 448
Systemic anticholinergics 449
Surgical Treatment 449
SUMMARY 449
REFERENCES 449
Less Common Side Effects of Sympathetic Surgery 453
Key points 453
INTRODUCTION 453
INTRAOPERATIVE COMPLICATIONS 453
Lung Isolation 453
Unusual Anatomy 454
Pneumothorax 454
Bleeding 455
Incomplete Sympathectomy 455
POSTOPERATIVE COMPLICATIONS 455
Pleural Complications 455
Postoperative Pain 456
Horner’s Syndrome 456
Cardiac 456
Patient Satisfaction 456
Patient Selection 457
Preoperative Education 457
Standardized Surgical Procedure 457
Evaluation of Personal Surgical Results 457
REFERENCES 458
Facial Blushing 459
Key points 459
INTRODUCTION 459
NONSURGICAL TREATMENT 460
SURGICAL TREATMENT AND PATIENT SELECTION 460
Complications 461
Side Effects 461
LONG-TERM RESULTS OF SURGERY 461
SUMMARY 462
REFERENCES 462
Management of Plantar Hyperhidrosis with Endoscopic Lumbar Sympathectomy 465
Key points 465
INTRODUCTION 465
PATIENTS 465
TECHNIQUE OF ENDOSCOPIC LUMBAR SYMPATHECTOMY 466
CLINICAL RESULTS 466
DISCUSSION 467
SUMMARY 468
REFERENCES 468
Index 471