Surgical management of compensatory sweating: A systematic review
Endoscopic thoracic sympathectomy (ETS) surgery is a highly effective treatment of primary hyperhidrosis (PH) for the palms, face, axillae. Compensatory sweating (CS) is the most common and feared side effect of thoracic sympathectomy. CS is a phenomenon characterized by increased sweating in sites...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1160827/full |
| _version_ | 1797866040674222080 |
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| author | Domenico Loizzi Diletta Mongiello Maria Teresa Bevilacqua Federico Raveglia Alfonso Fiorelli Maria Teresa Congedo Nicoletta Pia Ardò Francesco Sollitto |
| author_facet | Domenico Loizzi Diletta Mongiello Maria Teresa Bevilacqua Federico Raveglia Alfonso Fiorelli Maria Teresa Congedo Nicoletta Pia Ardò Francesco Sollitto |
| author_sort | Domenico Loizzi |
| collection | DOAJ |
| description | Endoscopic thoracic sympathectomy (ETS) surgery is a highly effective treatment of primary hyperhidrosis (PH) for the palms, face, axillae. Compensatory sweating (CS) is the most common and feared side effect of thoracic sympathectomy. CS is a phenomenon characterized by increased sweating in sites distal to the level of sympathectomy. Compensatory sweating is the main problem for which many patients give up surgery, losing the chance to solve their problem and accepting a poor quality of life. There are still no treatments that offer reliable solutions for compensatory sweating. The treatments proposed in the literature are scarce, with low case histories, and with uncertain results. Factors associated with CS are extension of manipulation of the sympathetic chain, level of sympathetic denervation, and body mass index. Therapeutic options include non surgical treatment and surgical treatment. Non surgical treatments include topical agents, botulinum toxin, systemic anticholinergics, iontophoresis. Surgical treatments include clip removal, extended sympathectomy and sympathetic chain reconstruction, although the efficacy is not well-established for all the methods. In this review we provide an overview of the treatments and outcomes described in the literature for the management of compensatory CS, with focus on surgical treatment. |
| first_indexed | 2024-04-09T23:18:42Z |
| format | Article |
| id | doaj.art-98f687f3f498409881fee3e77dfc5bab |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-09T23:18:42Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-98f687f3f498409881fee3e77dfc5bab2023-03-22T05:10:52ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-03-011010.3389/fsurg.2023.11608271160827Surgical management of compensatory sweating: A systematic reviewDomenico Loizzi0Diletta Mongiello1Maria Teresa Bevilacqua2Federico Raveglia3Alfonso Fiorelli4Maria Teresa Congedo5Nicoletta Pia Ardò6Francesco Sollitto7Department of Medical and Surgical Science, University of Foggia, Foggia, ItalyDepartment of Medical and Surgical Science, University of Foggia, Foggia, ItalyDepartment of Medical and Surgical Science, University of Foggia, Foggia, ItalyDepartment of Thoracic Surgery, San Gerardo Hospital, Monza, ItalyDepartment of Translation Medicine, Thoracic Surgery Unit, Università della Campania “Luigi Vanvitelli”, Naples, ItalyDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Roma, ItalyDepartment of Medical and Surgical Science, University of Foggia, Foggia, ItalyDepartment of Medical and Surgical Science, University of Foggia, Foggia, ItalyEndoscopic thoracic sympathectomy (ETS) surgery is a highly effective treatment of primary hyperhidrosis (PH) for the palms, face, axillae. Compensatory sweating (CS) is the most common and feared side effect of thoracic sympathectomy. CS is a phenomenon characterized by increased sweating in sites distal to the level of sympathectomy. Compensatory sweating is the main problem for which many patients give up surgery, losing the chance to solve their problem and accepting a poor quality of life. There are still no treatments that offer reliable solutions for compensatory sweating. The treatments proposed in the literature are scarce, with low case histories, and with uncertain results. Factors associated with CS are extension of manipulation of the sympathetic chain, level of sympathetic denervation, and body mass index. Therapeutic options include non surgical treatment and surgical treatment. Non surgical treatments include topical agents, botulinum toxin, systemic anticholinergics, iontophoresis. Surgical treatments include clip removal, extended sympathectomy and sympathetic chain reconstruction, although the efficacy is not well-established for all the methods. In this review we provide an overview of the treatments and outcomes described in the literature for the management of compensatory CS, with focus on surgical treatment.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1160827/fullcompensatory sweating (CS)compensatory hyperhidrosis (CH)unclippingdiffuse sympathectomysympathetic nerve reconstruction |
| spellingShingle | Domenico Loizzi Diletta Mongiello Maria Teresa Bevilacqua Federico Raveglia Alfonso Fiorelli Maria Teresa Congedo Nicoletta Pia Ardò Francesco Sollitto Surgical management of compensatory sweating: A systematic review Frontiers in Surgery compensatory sweating (CS) compensatory hyperhidrosis (CH) unclipping diffuse sympathectomy sympathetic nerve reconstruction |
| title | Surgical management of compensatory sweating: A systematic review |
| title_full | Surgical management of compensatory sweating: A systematic review |
| title_fullStr | Surgical management of compensatory sweating: A systematic review |
| title_full_unstemmed | Surgical management of compensatory sweating: A systematic review |
| title_short | Surgical management of compensatory sweating: A systematic review |
| title_sort | surgical management of compensatory sweating a systematic review |
| topic | compensatory sweating (CS) compensatory hyperhidrosis (CH) unclipping diffuse sympathectomy sympathetic nerve reconstruction |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1160827/full |
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